Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $407.38 / $489.78	Facility		$338.84	$407.38	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $316.23 / $398.11	Professional		$134.90	$316.23	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $501.19 / $537.03	Professional		$426.58	$501.19	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $489.78 / $616.60	Professional		$446.68	$489.78	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $245.47 / $489.78	Professional		$123.03	$245.47	$489.78