Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $14.13 / $32.36	Professional		$6.03	$14.13	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $32.36	Professional		$26.30	$26.30	$32.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.49 / $38.90	Professional		$12.30	$13.49	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $28.84 / $33.88	Professional		$7.94	$28.84	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $23.44 / $39.81	Professional		$9.33	$23.44	$39.81