Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,511.89	Professional		$1,202.26	$1,621.81	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,630.27	Facility		$1,698.24	$1,698.24	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,951.21 / $4,168.69	Professional		$1,698.24	$2,951.21	$4,168.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional		$3,388.44	$3,388.44	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,388.44 / $3,890.45	Professional		$2,041.74	$3,388.44	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,862.09 / $2,187.76	Facility		$1,819.70	$1,862.09	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $3,630.78	Professional		$1,621.81	$2,290.87	$3,630.78