Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $187.00 / $240.00	Facility		$165.00	$187.00	$240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Professional		$128.00	$128.00	$128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $240.00	Professional		$240.00	$240.00	$240.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $47.20 / $47.20	Professional		$47.20	$47.20	$47.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $240.00 / $280.00	Professional		$220.00	$240.00	$280.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $240.00 / $300.00	Professional		$200.00	$240.00	$300.00