Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $1,023.29	Professional		$512.86	$676.08	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $1,584.89	Facility		$812.83	$812.83	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,778.28 / $2,511.89	Professional		$812.83	$1,778.28	$2,511.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,137.96	Professional		$2,041.74	$2,041.74	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,041.74 / $2,344.23	Professional		$1,230.27	$2,041.74	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $776.25 / $912.01	Facility		$758.58	$776.25	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,380.38 / $2,187.76	Professional		$676.08	$1,380.38	$2,187.76