Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $136.22	Professional		$134.88	$134.88	$136.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $146.28 / $172.10	Professional		$134.88	$146.28	$172.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $190.76 / $219.26 / $252.15	Professional		$190.76	$219.26	$252.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.37 / $161.86 / $188.84	Professional		$148.37	$161.86	$188.84
United Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $154.88 / $202.34	Professional		$134.88	$154.88	$202.34