Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $109.65 / $141.25	Professional		$100.00	$109.65	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $125.89 / $154.88	Professional		$109.65	$125.89	$154.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $158.49 / $181.97	Professional		$144.54	$158.49	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $186.21	Professional		$109.65	$144.54	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $204.17	Professional		$109.65	$165.96	$204.17