Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $87.10	Professional		$79.43	$79.43	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
HMSA Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $95.50 / $112.20	Professional		$87.10	$95.50	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $91.20 / $120.23	Professional		$89.13	$91.20	$120.23