Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $363.08 / $575.44	Professional		$263.03	$363.08	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $870.96	Facility		$478.63	$478.63	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $977.24 / $1,380.38	Professional		$478.63	$977.24	$1,380.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,174.90	Professional		$1,122.02	$1,122.02	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,122.02 / $1,288.25	Professional		$676.08	$1,122.02	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $398.11 / $457.09	Facility		$389.05	$398.11	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $776.25 / $1,230.27	Professional		$338.84	$776.25	$1,230.27