Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.93 / $379.93 / $379.93	Facility		$379.93	$379.93	$379.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.93 / $379.93 / $379.93	Professional		$379.93	$379.93	$379.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $88.09 / $88.09	Professional		$84.13	$88.09	$88.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $84.13 / $84.13	Professional		$84.13	$84.13	$84.13
United Facility/Professional Professional Modifier Low / Median / High Price $4,790.84 / $4,790.84 / $4,790.84	Professional		$4,790.84	$4,790.84	$4,790.84