Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $1,200.00 / $1,200.00	Facility		$990.00	$1,200.00	$1,200.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,650.00 / $5,058.00 / $5,521.00	Facility		$1,650.00	$5,058.00	$5,521.00
HMSA Facility/Professional Facility Modifier Low / Median / High Price $313.30 / $525.00 / $900.00	Facility		$313.30	$525.00	$900.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $275.00 / $25,886.78	Facility		$110.00	$275.00	$25,886.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,602.00 / $5,309.00	Facility		$1,200.00	$1,602.00	$5,309.00