Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.19 / $94.19 / $94.19	Professional		$94.19	$94.19	$94.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.92 / $138.56 / $169.80	Professional		$108.92	$138.56	$169.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $165.82 / $183.43 / $224.00	Professional		$165.82	$183.43	$224.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.84 / $163.01 / $190.18	Professional		$135.84	$163.01	$190.18
United Facility/Professional Professional Modifier Low / Median / High Price $153.72 / $169.80 / $246.21	Professional		$153.72	$169.80	$246.21