Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.71 / $230.87 / $296.30	Facility		$203.71	$230.87	$296.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.30 / $296.30 / $296.30	Professional		$296.30	$296.30	$296.30
HMSA Facility/Professional Professional Modifier Low / Median / High Price $62.73 / $62.73 / $62.73	Professional		$62.73	$62.73	$62.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.92 / $296.30 / $370.38	Professional		$246.92	$296.30	$370.38
United Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $296.30 / $296.30	Professional		$103.71	$296.30	$296.30