Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.44 / $634.44 / $634.44	Professional		$634.44	$634.44	$634.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $743.69 / $743.69 / $743.69	Facility		$743.69	$743.69	$743.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.08 / $809.08 / $809.08	Professional		$809.08	$809.08	$809.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $92.36 / $96.71 / $96.71	Professional		$92.36	$96.71	$96.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.36 / $92.36 / $92.36	Professional		$92.36	$92.36	$92.36
United Facility/Professional Professional Modifier Low / Median / High Price $638.15 / $743.69 / $1,076.61	Professional		$638.15	$743.69	$1,076.61