Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $194.98 / $239.88	Facility		$162.18	$194.98	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $208.93	Professional		$89.13	$128.82	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $239.88 / $295.12	Professional		$218.78	$239.88	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $165.96 / $239.88	Professional		$83.18	$165.96	$239.88