Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,904.00 / $3,291.20 / $4,224.00	Facility		$2,904.00	$3,291.20	$4,224.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,224.00 / $4,224.00 / $4,224.00	Professional		$4,224.00	$4,224.00	$4,224.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,317.27 / $3,977.60 / $4,400.00	Professional		$3,317.27	$3,977.60	$4,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,520.00 / $4,224.00 / $5,280.00	Professional		$3,520.00	$4,224.00	$5,280.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,478.40 / $4,224.00 / $5,280.00	Professional		$1,478.40	$4,224.00	$5,280.00