Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $165.96	Professional		$104.71	$104.71	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $134.90	Professional		$104.71	$104.71	$134.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $154.88	Professional		$104.71	$125.89	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $154.88	Professional		$104.71	$109.65	$154.88