Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $139.31	Professional		$137.93	$137.93	$139.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $237.37 / $279.26	Professional		$137.93	$237.37	$279.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $295.58 / $339.76 / $390.72	Professional		$295.58	$339.76	$390.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.72 / $165.51 / $193.10	Professional		$151.72	$165.51	$193.10
United Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $206.90 / $279.26	Professional		$137.93	$206.90	$279.26