Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,076.93 / $1,220.52 / $1,566.44	Facility		$1,076.93	$1,220.52	$1,566.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,566.44 / $1,566.44 / $1,566.44	Professional		$1,566.44	$1,566.44	$1,566.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,305.36 / $1,366.88 / $1,631.71	Professional		$1,305.36	$1,366.88	$1,631.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,305.36 / $1,566.44 / $1,958.06	Professional		$1,305.36	$1,566.44	$1,958.06
United Facility/Professional Professional Modifier Low / Median / High Price $548.26 / $1,566.44 / $1,958.06	Professional		$548.26	$1,566.44	$1,958.06