Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,412.54	Professional		$912.01	$912.01	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $645.65 / $1,288.25	Professional		$120.23	$645.65	$1,288.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,659.59 / $2,137.96	Professional		$1,584.89	$1,659.59	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $660.69 / $1,202.26	Facility		$89.13	$660.69	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,096.48 / $1,698.24	Professional		$707.95	$1,096.48	$1,698.24