Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $741.31	Professional		$371.54	$467.74	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $676.08	Facility		$630.96	$630.96	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $1,071.52	Professional		$630.96	$758.58	$1,071.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $870.96 / $1,000.00	Professional		$524.81	$870.96	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $524.81 / $616.60	Facility		$512.86	$524.81	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $645.65 / $933.25	Professional		$457.09	$645.65	$933.25