Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $110.53	Professional		$109.44	$109.44	$110.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $318.17 / $318.17	Professional		$109.44	$318.17	$318.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $336.78 / $387.10 / $445.17	Professional		$336.78	$387.10	$445.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.38 / $131.32 / $153.21	Professional		$120.38	$131.32	$153.21
United Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $164.16 / $318.17	Professional		$109.44	$164.16	$318.17