Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $673.20 / $864.00	Facility		$594.00	$673.20	$864.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.00 / $864.00 / $864.00	Professional		$864.00	$864.00	$864.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $720.00 / $900.00	Professional		$720.00	$720.00	$900.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $864.00 / $1,080.00	Professional		$720.00	$864.00	$1,080.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $864.00 / $1,080.00	Professional		$302.39	$864.00	$1,080.00