Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $64.57 / $91.20	Professional		$57.54	$64.57	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $288.40	Professional		$69.18	$93.33	$288.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $87.10 / $100.00	Professional		$77.62	$87.10	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $131.83	Professional		$64.57	$87.10	$131.83