Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $131.83 / $162.18	Facility		$109.65	$131.83	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.82 / $169.82	Professional		$72.44	$114.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $165.96	Professional		$134.90	$158.49	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $162.18 / $199.53	Professional		$147.91	$162.18	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $134.90 / $199.53	Professional		$67.61	$134.90	$199.53