Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.80 / $359.04 / $460.80	Facility		$316.80	$359.04	$460.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.76 / $101.76 / $101.76	Professional		$101.76	$101.76	$101.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.80 / $460.80 / $460.80	Professional		$460.80	$460.80	$460.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $361.88 / $433.92 / $480.00	Professional		$361.88	$433.92	$480.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $422.40 / $460.80 / $537.60	Professional		$422.40	$460.80	$537.60
United Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $288.00 / $460.80	Professional		$192.00	$288.00	$460.80