Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $123.03	Professional		$112.20	$112.20	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $281.84	Professional		$112.20	$112.20	$281.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $346.74 / $398.11	Professional		$302.00	$346.74	$398.11
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 / $190.55 / $812.83	Professional		$125.89	$190.55	$812.83