Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.62 / $85.70 / $109.99	Facility		$75.62	$85.70	$109.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.98 / $59.98 / $59.98	Professional		$59.98	$59.98	$59.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.99 / $109.99 / $109.99	Professional		$109.99	$109.99	$109.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $148.68 / $173.25	Professional		$126.00	$148.68	$173.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.83 / $109.99 / $128.32	Professional		$100.83	$109.99	$128.32
United Facility/Professional Professional Modifier Low / Median / High Price $109.99 / $113.17 / $137.49	Professional		$109.99	$113.17	$137.49