Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.74 / $477.97 / $613.44	Facility		$421.74	$477.97	$613.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.44 / $613.44 / $613.44	Professional		$613.44	$613.44	$613.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $120.64 / $120.64 / $120.64	Professional		$120.64	$120.64	$120.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $511.20 / $613.44 / $766.80	Professional		$511.20	$613.44	$766.80
United Facility/Professional Professional Modifier Low / Median / High Price $214.70 / $613.44 / $766.80	Professional		$214.70	$613.44	$766.80