Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.10 / $210.13 / $324.30	Professional		$143.10	$210.13	$324.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.38 / $66.81 / $592.28	Professional		$26.38	$66.81	$592.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $60.92 / $60.92 / $60.92	Professional		$60.92	$60.92	$60.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $32.08 / $670.00	Professional		$32.08	$32.08	$670.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.26 / $24.26 / $54.11	Professional		$17.26	$24.26	$54.11