Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $95.50	Professional		$87.10	$87.10	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $97.72 / $199.53	Professional		$87.10	$97.72	$199.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $173.78	Professional		$125.89	$138.04	$173.78
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 $87.10 / $114.82 / $125.89	Professional		$87.10	$114.82	$125.89