Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $710.60 / $912.00	Facility		$627.00	$710.60	$912.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.80 / $402.80 / $402.80	Professional		$402.80	$402.80	$402.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.00 / $912.00 / $912.00	Professional		$912.00	$912.00	$912.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $836.00 / $1,045.00	Professional		$760.00	$836.00	$1,045.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $836.00 / $912.00 / $1,064.00	Professional		$836.00	$912.00	$1,064.00
United Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $912.00 / $1,140.00	Professional		$760.00	$912.00	$1,140.00