Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $426.58	Professional		$389.05	$389.05	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $478.63	Professional		$389.05	$389.05	$478.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $467.74 / $549.54	Professional		$389.05	$467.74	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $588.84	Professional		$389.05	$389.05	$588.84