Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $245.47 / $295.12	Facility		$204.17	$245.47	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $316.23	Professional		$134.90	$213.80	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
HMSA Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $295.12 / $309.03	Professional		$251.19	$295.12	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $295.12 / $371.54	Professional		$275.42	$295.12	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $251.19 / $371.54	Professional		$123.03	$251.19	$371.54