Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $123.03	Professional		$107.15	$107.15	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $489.78	Professional		$107.15	$138.04	$489.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $208.93 / $251.19	Professional		$186.21	$208.93	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $218.78	Professional		$144.54	$173.78	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $467.74	Professional		$125.89	$138.04	$467.74