Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $141.25 / $169.82	Facility		$117.49	$141.25	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $177.83	Professional		$77.62	$123.03	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $169.82 / $213.80	Professional		$158.49	$169.82	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $141.25 / $213.80	Professional		$70.79	$141.25	$213.80