Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,830.78 / $2,074.89 / $2,662.96	Facility		$1,830.78	$2,074.89	$2,662.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,662.96 / $2,662.96 / $2,662.96	Professional		$2,662.96	$2,662.96	$2,662.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,219.13 / $2,256.86 / $2,773.91	Professional		$2,219.13	$2,256.86	$2,773.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,219.13 / $2,662.96 / $3,328.70	Professional		$2,219.13	$2,662.96	$3,328.70
United Facility/Professional Professional Modifier Low / Median / High Price $932.03 / $2,662.96 / $3,328.70	Professional		$932.03	$2,662.96	$3,328.70