Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $213.80	Professional		$104.71	$151.36	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $257.04	Professional		$147.91	$147.91	$257.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $218.78 / $275.42	Professional		$128.82	$218.78	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $120.23 / $147.91	Professional		$109.65	$120.23	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $158.49 / $190.55	Professional		$93.33	$158.49	$190.55