Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.42 / $104.74 / $134.41	Facility		$92.42	$104.74	$134.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $134.41 / $134.41	Professional		$134.41	$134.41	$134.41
HMSA Facility/Professional Professional Modifier Low / Median / High Price $99.71 / $117.30 / $140.03	Professional		$99.71	$117.30	$140.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.02 / $134.41 / $168.03	Professional		$112.02	$134.41	$168.03
United Facility/Professional Professional Modifier Low / Median / High Price $112.02 / $134.41 / $134.41	Professional		$112.02	$134.41	$134.41