Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $109.65 / $134.90	Facility		$93.33	$109.65	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $107.15	Professional		$61.66	$87.10	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $141.25	Professional		$112.20	$131.83	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $134.90 / $169.82	Professional		$112.20	$134.90	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $112.20 / $169.82	Professional		$46.77	$112.20	$169.82