Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,698.24	Professional		$1,000.00	$1,288.25	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $3,162.28	Facility		$1,513.56	$1,513.56	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,548.13 / $5,011.87	Professional		$1,513.56	$3,548.13	$5,011.87
HMSA Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,265.80	Professional		$4,073.80	$4,073.80	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $4,073.80 / $4,677.35	Professional		$2,454.71	$4,073.80	$4,677.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $1,445.44	Facility		$1,122.02	$1,412.54	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,754.23 / $4,365.16	Professional		$1,348.96	$2,754.23	$4,365.16