Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $112.26	Professional		$111.15	$111.15	$112.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $418.76 / $436.54	Professional		$111.15	$418.76	$436.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $462.08 / $531.13 / $610.79	Professional		$462.08	$531.13	$610.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.27 / $133.38 / $155.61	Professional		$122.27	$133.38	$155.61
United Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $166.73 / $436.54	Professional		$111.15	$166.73	$436.54