Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,621.81	Professional		$912.01	$912.01	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $467.74 / $1,071.52	Professional		$120.23	$467.74	$1,071.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,290.87 / $2,290.87	Professional		$2,187.76	$2,290.87	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $645.65 / $1,174.90	Facility		$87.10	$645.65	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,202.26 / $1,659.59	Professional		$660.69	$1,202.26	$1,659.59