Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,096.48	Professional		$1,047.13	$1,047.13	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $363.08 / $1,047.13	Professional		$208.93	$363.08	$1,047.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $436.52 / $501.19	Professional		$380.19	$436.52	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $218.78	Professional		$144.54	$173.78	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $302.00 / $1,000.00	Professional		$125.89	$302.00	$1,000.00