Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $2,951.21	Professional		$1,380.38	$1,862.09	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $3,162.28	Facility		$1,819.70	$1,819.70	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,548.13 / $5,011.87	Professional		$1,819.70	$3,548.13	$5,011.87
HMSA Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
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 $1,905.46 / $1,949.84 / $2,290.87	Facility		$1,905.46	$1,949.84	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,754.23 / $4,365.16	Professional		$1,698.24	$2,754.23	$4,365.16