Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,883.00 / $4,705.00	Facility		$1,486.00	$3,883.00	$4,705.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.39 / $242.78 / $11,373.27	Professional		$86.39	$242.78	$11,373.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,468.77 / $4,250.93 / $5,101.13	Professional		$3,468.77	$4,250.93	$5,101.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $117.42 / $135.25 / $226.94	Professional		$117.42	$135.25	$226.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.83 / $3,400.75 / $4,250.93	Professional		$65.83	$3,400.75	$4,250.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,403.86 / $3,514.71 / $4,622.50	Professional		$2,403.86	$3,514.71	$4,622.50