Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $107.15 / $128.82	Facility		$89.13	$107.15	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $91.20 / $134.90	Professional		$57.54	$91.20	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $134.90	Professional		$107.15	$125.89	$134.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $128.82 / $162.18	Professional		$117.49	$128.82	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $107.15 / $162.18	Professional		$53.70	$107.15	$162.18