Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $742.40	Professional		$735.05	$735.05	$742.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $992.29 / $1,167.40	Professional		$735.05	$992.29	$1,167.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,293.92 / $1,487.26 / $1,710.35	Professional		$1,293.92	$1,487.26	$1,710.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $808.55 / $882.05 / $1,029.06	Professional		$808.55	$882.05	$1,029.06
United Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $1,050.66 / $1,167.40	Professional		$735.05	$1,050.66	$1,167.40