Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $75.86 / $95.50	Professional		$74.13	$75.86	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $91.20	Professional		$74.13	$74.13	$91.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $89.13 / $112.20	Professional		$74.13	$89.13	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $79.43 / $95.50	Professional		$74.13	$79.43	$95.50