Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,630.27	Professional		$2,137.96	$2,570.40	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $3,801.89	Professional		$2,630.27	$2,630.27	$3,801.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,951.21	Professional		$2,818.38	$2,818.38	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,548.13 / $4,168.69	Professional		$2,951.21	$3,548.13	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,570.40 / $3,890.45	Professional		$2,454.71	$2,570.40	$3,890.45