Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $213.80	Professional		$194.98	$194.98	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $234.42 / $275.42	Professional		$218.78	$234.42	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $223.87 / $295.12	Professional		$194.98	$223.87	$295.12