Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,071.52 / $1,122.02	Professional		$1,023.29	$1,071.52	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,230.27	Professional		$1,096.48	$1,096.48	$1,230.27
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $676.08	Professional		$5.01	$5.01	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,122.02 / $1,318.26	Professional		$1,071.52	$1,122.02	$1,318.26