Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $225.00 / $225.00	Facility		$225.00	$225.00	$225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $115.70 / $290.00	Professional		$38.00	$115.70	$290.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $149.41 / $180.00	Professional		$10.00	$149.41	$180.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $124.16 / $146.07 / $174.38	Professional		$124.16	$146.07	$174.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.86 / $150.00 / $239.19	Professional		$72.86	$150.00	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $94.31 / $125.75 / $125.75	Professional		$94.31	$125.75	$125.75