Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.13 / $56.13 / $56.13	Professional		$56.13	$56.13	$56.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.27 / $101.27 / $101.27	Facility		$101.27	$101.27	$101.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.85 / $53.85 / $140.22	Professional		$53.85	$53.85	$140.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $127.48 / $133.49 / $133.49	Professional		$127.48	$133.49	$133.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.24 / $127.48 / $178.47	Professional		$89.24	$127.48	$178.47
United Facility/Professional Professional Modifier Low / Median / High Price $66.62 / $119.19 / $140.22	Professional		$66.62	$119.19	$140.22