Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $114.82	Professional		$104.71	$104.71	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $125.89 / $147.91	Professional		$114.82	$125.89	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $120.23 / $158.49	Professional		$104.71	$120.23	$158.49