Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $207.00	Professional		$204.96	$204.96	$207.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $316.02 / $430.57	Professional		$204.96	$316.02	$430.57
HMSA Facility/Professional Professional Modifier Low / Median / High Price $362.35 / $402.61 / $453.70	Professional		$362.35	$402.61	$453.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $225.45 / $245.95 / $286.94	Professional		$225.45	$245.95	$286.94
United Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $284.42 / $316.02	Professional		$204.96	$284.42	$316.02