Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $501.19 / $602.56	Facility		$416.87	$501.19	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $389.05 / $489.78	Professional		$275.42	$389.05	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $630.96	Professional		$501.19	$588.84	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $602.56 / $758.58	Professional		$501.19	$602.56	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $501.19 / $758.58	Professional		$213.80	$501.19	$758.58