Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $245.47 / $295.12	Facility		$204.17	$245.47	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $186.21	Professional		$112.20	$151.36	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
HMSA Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $295.12 / $371.54	Professional		$245.47	$295.12	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $204.17 / $295.12	Professional		$104.71	$204.17	$295.12