Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $281.84 / $338.84	Facility		$234.42	$281.84	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $354.81	Professional		$154.88	$245.47	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $295.12 / $354.81	Professional		$281.84	$295.12	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $338.84 / $426.58	Professional		$309.03	$338.84	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $281.84 / $426.58	Professional		$141.25	$281.84	$426.58