Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $162.18 / $194.98	Facility		$134.90	$162.18	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $257.04	Professional		$109.65	$141.25	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $288.40 / $323.59	Professional		$223.87	$288.40	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $194.98 / $245.47	Professional		$181.97	$194.98	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $194.98 / $245.47	Professional		$102.33	$194.98	$245.47