Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.00 / $264.00 / $264.00	Facility		$264.00	$264.00	$264.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $227.72 / $227.72 / $227.72	Professional		$227.72	$227.72	$227.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.41 / $199.00 / $232.16	Professional		$182.41	$199.00	$232.16
United Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $248.75	Professional		$165.83	$165.83	$248.75