Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.58 / $350.86 / $450.30	Facility		$309.58	$350.86	$450.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.88 / $198.88 / $198.88	Professional		$198.88	$198.88	$198.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.30 / $450.30 / $450.30	Professional		$450.30	$450.30	$450.30
HMSA Facility/Professional Professional Modifier Low / Median / High Price $375.25 / $392.93 / $469.06	Professional		$375.25	$392.93	$469.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $412.78 / $450.30 / $525.35	Professional		$412.78	$450.30	$525.35
United Facility/Professional Professional Modifier Low / Median / High Price $375.25 / $450.30 / $562.88	Professional		$375.25	$450.30	$562.88