Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,096.48	Professional		$676.08	$831.76	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,230.27	Facility		$1,122.02	$1,122.02	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $1,949.84	Professional		$1,122.02	$1,380.38	$1,949.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,659.59	Professional		$1,584.89	$1,584.89	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,584.89 / $1,819.70	Professional		$954.99	$1,584.89	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $891.25 / $912.01	Facility		$707.95	$891.25	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $1,698.24	Professional		$831.76	$1,174.90	$1,698.24