Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,887.50 / $3,272.50 / $4,200.00	Facility		$2,887.50	$3,272.50	$4,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,793.73 / $1,793.73 / $1,793.73	Professional		$1,793.73	$1,793.73	$1,793.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,200.00 / $4,200.00	Professional		$4,200.00	$4,200.00	$4,200.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,989.55 / $2,989.55 / $3,736.94	Professional		$2,989.55	$2,989.55	$3,736.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,850.00 / $4,200.00 / $4,900.00	Professional		$3,850.00	$4,200.00	$4,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $4,200.00 / $5,250.00	Professional		$3,500.00	$4,200.00	$5,250.00