Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $147.91 / $181.97	Facility		$123.03	$147.91	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $128.82 / $190.55	Professional		$81.28	$128.82	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
HMSA Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $181.97 / $223.87	Professional		$165.96	$181.97	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $151.36 / $223.87	Professional		$75.86	$151.36	$223.87