Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $97.72	Professional		$81.28	$81.28	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $89.13	Professional		$81.28	$81.28	$89.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $123.03	Professional		$81.28	$97.72	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $81.28 / $91.20	Professional		$77.62	$81.28	$91.20