Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $416.87 / $416.87	Facility		$213.80	$416.87	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $102.33	Professional		$93.33	$93.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $112.20 / $131.83	Professional		$102.33	$112.20	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $141.25	Professional		$93.33	$109.65	$141.25