Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $316.23 / $389.05	Facility		$269.15	$316.23	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $457.09	Professional		$194.98	$275.42	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $794.33	Professional		$562.34	$724.44	$794.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $389.05 / $489.78	Professional		$354.81	$389.05	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $354.81 / $489.78	Professional		$177.83	$354.81	$489.78