Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,836.33 / $3,214.51 / $4,125.58	Facility		$2,836.33	$3,214.51	$4,125.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,822.13 / $1,822.13 / $1,822.13	Professional		$1,822.13	$1,822.13	$1,822.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,125.58 / $4,125.58 / $4,125.58	Professional		$4,125.58	$4,125.58	$4,125.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,437.98 / $3,599.98 / $4,297.47	Professional		$3,437.98	$3,599.98	$4,297.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,781.78 / $4,125.58 / $4,813.17	Professional		$3,781.78	$4,125.58	$4,813.17
United Facility/Professional Professional Modifier Low / Median / High Price $3,437.98 / $4,125.58 / $5,156.97	Professional		$3,437.98	$4,125.58	$5,156.97