Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $549.54	Professional		$309.03	$309.03	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $389.05	Professional		$309.03	$309.03	$389.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $457.09	Professional		$309.03	$371.54	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $323.59 / $457.09	Professional		$309.03	$323.59	$457.09