Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $245.47	Professional		$208.93	$208.93	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $245.47	Professional		$208.93	$208.93	$245.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $204.17 / $239.88	Professional		$177.83	$204.17	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $316.23	Professional		$208.93	$251.19	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $213.80 / $245.47	Professional		$208.93	$213.80	$245.47