Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $354.81 / $426.58	Facility		$295.12	$354.81	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $446.68	Professional		$194.98	$309.03	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $416.87 / $446.68	Professional		$354.81	$416.87	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $426.58 / $537.03	Professional		$389.05	$426.58	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $354.81 / $537.03	Professional		$177.83	$354.81	$537.03