Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,174.90 / $1,905.46	Professional		$758.58	$1,174.90	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,995.26	Facility		$1,479.11	$1,479.11	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,238.72 / $3,162.28	Professional		$1,479.11	$2,238.72	$3,162.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,570.40 / $2,951.21	Professional		$1,548.82	$2,570.40	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,148.15 / $1,348.96	Facility		$1,122.02	$1,148.15	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,737.80 / $2,754.23	Professional		$1,000.00	$1,737.80	$2,754.23