Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,606.52 / $2,954.06 / $3,791.30	Facility		$2,606.52	$2,954.06	$3,791.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,674.49 / $1,674.49 / $1,674.49	Professional		$1,674.49	$1,674.49	$1,674.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,791.30 / $3,791.30 / $3,791.30	Professional		$3,791.30	$3,791.30	$3,791.30
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,159.42 / $3,308.29 / $3,949.28	Professional		$3,159.42	$3,308.29	$3,949.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,475.36 / $3,791.30 / $4,423.18	Professional		$3,475.36	$3,791.30	$4,423.18
United Facility/Professional Professional Modifier Low / Median / High Price $3,159.42 / $3,791.30 / $4,739.13	Professional		$3,159.42	$3,791.30	$4,739.13