Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $724.44 / $870.96	Facility		$602.56	$724.44	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $912.01	Professional		$398.11	$616.60	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $912.01	Professional		$724.44	$851.14	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $870.96 / $1,096.48	Professional		$794.33	$870.96	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $724.44 / $1,096.48	Professional		$363.08	$724.44	$1,096.48