Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.66 / $535.66 / $535.66	Professional		$535.66	$535.66	$535.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,204.26 / $1,204.26 / $1,204.26	Facility		$1,204.26	$1,204.26	$1,204.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $843.35 / $843.35 / $1,667.50	Professional		$843.35	$843.35	$1,667.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,515.91 / $1,587.34 / $1,587.34	Professional		$1,515.91	$1,587.34	$1,587.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,061.14 / $1,515.91 / $2,122.27	Professional		$1,061.14	$1,515.91	$2,122.27
United Facility/Professional Professional Modifier Low / Median / High Price $980.18 / $1,417.38 / $1,667.50	Professional		$980.18	$1,417.38	$1,667.50