Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $91.20 / $109.65	Facility		$75.86	$91.20	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $141.25	Professional		$61.66	$79.43	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $177.83	Professional		$125.89	$162.18	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $109.65 / $138.04	Professional		$100.00	$109.65	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $109.65 / $138.04	Professional		$56.23	$109.65	$138.04