Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,467.37 / $4,265.80	Facility		$2,884.03	$3,467.37	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,019.95	Professional		$2,884.03	$2,884.03	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,365.16 / $4,365.16	Professional		$3,548.13	$4,365.16	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,265.80 / $5,248.07	Professional		$3,548.13	$4,265.80	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $3,548.13 / $5,248.07	Professional		$1,479.11	$3,548.13	$5,248.07