Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $121.44 / $125.10	Professional		$73.48	$121.44	$125.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $58.29 / $157.16	Professional		$58.29	$58.29	$157.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $209.42 / $209.42	Professional		$200.00	$209.42	$209.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.02 / $200.02 / $200.02	Professional		$200.02	$200.02	$200.02
United Facility/Professional Professional Modifier Low / Median / High Price $47.44 / $89.45 / $178.19	Professional		$47.44	$89.45	$178.19