Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,640.00 / $2,992.00 / $3,840.00	Facility		$2,640.00	$2,992.00	$3,840.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,696.00 / $1,696.00 / $1,696.00	Professional		$1,696.00	$1,696.00	$1,696.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,840.00 / $3,840.00 / $3,840.00	Professional		$3,840.00	$3,840.00	$3,840.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,350.78 / $4,000.00	Professional		$3,200.00	$3,350.78	$4,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,520.00 / $3,840.00 / $4,480.00	Professional		$3,520.00	$3,840.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,840.00 / $4,800.00	Professional		$3,200.00	$3,840.00	$4,800.00