Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.29 / $59.29 / $59.29	Facility		$59.29	$59.29	$59.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $134.47 / $134.47	Professional		$134.47	$134.47	$134.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $137.72 / $207.79	Professional		$137.72	$137.72	$207.79
HMSA Facility/Professional Professional Modifier Low / Median / High Price $155.79 / $155.79 / $163.13	Professional		$155.79	$155.79	$163.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.31 / $184.70 / $192.40	Professional		$169.31	$184.70	$192.40
United Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $207.79 / $230.88	Professional		$153.91	$207.79	$230.88