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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,282.24 / $4,022.35 / $4,826.82	Professional		$3,282.24	$4,022.35	$4,826.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $251.90 / $290.14 / $368.28	Professional		$251.90	$290.14	$368.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.68 / $3,217.88 / $4,022.35	Professional		$109.68	$3,217.88	$4,022.35
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 $2,414.83 / $3,523.44 / $4,662.74	Professional		$2,414.83	$3,523.44	$4,662.74