Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $169.82 / $208.93	Facility		$141.25	$169.82	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $165.96	Professional		$93.33	$134.90	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $218.78	Professional		$173.78	$218.78	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $257.04	Professional		$173.78	$208.93	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $173.78 / $257.04	Professional		$72.44	$173.78	$257.04