Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $912.01	Facility		$630.96	$758.58	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $588.84 / $741.31	Professional		$416.87	$588.84	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $954.99	Professional		$758.58	$891.25	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $912.01 / $1,148.15	Professional		$758.58	$912.01	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $758.58 / $1,148.15	Professional		$316.23	$758.58	$1,148.15