Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.27 / $153.30 / $196.75	Facility		$135.27	$153.30	$196.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.28 / $107.28 / $107.28	Professional		$107.28	$107.28	$107.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.75 / $196.75 / $196.75	Professional		$196.75	$196.75	$196.75
HMSA Facility/Professional Professional Modifier Low / Median / High Price $225.38 / $265.95 / $309.89	Professional		$225.38	$265.95	$309.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.36 / $196.75 / $229.54	Professional		$180.36	$196.75	$229.54
United Facility/Professional Professional Modifier Low / Median / High Price $196.75 / $202.42 / $245.94	Professional		$196.75	$202.42	$245.94