Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $679.25 / $679.25 / $679.25	Professional		$679.25	$679.25	$679.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.63 / $107.63 / $107.63	Facility		$107.63	$107.63	$107.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.63 / $123.40 / $144.13	Professional		$107.63	$123.40	$144.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $2,353.19 / $2,464.08	Professional		$158.56	$2,353.19	$2,464.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.22 / $128.22 / $128.22	Professional		$128.22	$128.22	$128.22
United Facility/Professional Professional Modifier Low / Median / High Price $81.37 / $128.22 / $153.88	Professional		$81.37	$128.22	$153.88