Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.75 / $161.78 / $207.64	Facility		$142.75	$161.78	$207.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.64 / $207.64 / $207.64	Professional		$207.64	$207.64	$207.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $163.06 / $195.52 / $216.29	Professional		$163.06	$195.52	$216.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $207.64 / $259.55	Professional		$173.03	$207.64	$259.55
United Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $207.64 / $259.55	Professional		$72.67	$207.64	$259.55