Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.96 / $149.55 / $191.94	Facility		$131.96	$149.55	$191.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.94 / $191.94 / $191.94	Professional		$191.94	$191.94	$191.94
HMSA Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $167.49 / $199.94	Professional		$159.94	$167.49	$199.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $191.94 / $239.93	Professional		$159.94	$191.94	$239.93
United Facility/Professional Professional Modifier Low / Median / High Price $67.18 / $191.94 / $239.93	Professional		$67.18	$191.94	$239.93