Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $720.64	Professional		$713.50	$713.50	$720.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $1,536.88 / $1,536.88	Professional		$713.50	$1,536.88	$1,536.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,703.45 / $1,957.99 / $2,251.69	Professional		$1,703.45	$1,957.99	$2,251.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $784.85 / $856.20 / $998.90	Professional		$784.85	$856.20	$998.90
United Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $1,070.25 / $1,536.88	Professional		$713.50	$1,070.25	$1,536.88