Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $125.04	Professional		$123.80	$123.80	$125.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $130.06 / $153.01	Professional		$123.80	$130.06	$153.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $169.59 / $194.93 / $224.17	Professional		$169.59	$194.93	$224.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.18 / $148.56 / $173.32	Professional		$136.18	$148.56	$173.32
United Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $137.71 / $185.70	Professional		$123.80	$137.71	$185.70