Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $112.20 / $138.04	Facility		$93.33	$112.20	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $66.07 / $83.18	Professional		$51.29	$66.07	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $151.36	Professional		$120.23	$151.36	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $169.82	Professional		$114.82	$138.04	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $95.50 / $138.04	Professional		$47.86	$95.50	$138.04