Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $223.87	Professional		$162.18	$162.18	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $181.97	Professional		$162.18	$162.18	$181.97
HMSA Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $245.47	Professional		$162.18	$194.98	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $162.18 / $181.97	Professional		$154.88	$162.18	$181.97