Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,996.60 / $4,996.60 / $4,996.60	Facility		$4,996.60	$4,996.60	$4,996.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,996.60 / $4,996.60 / $4,996.60	Facility		$4,996.60	$4,996.60	$4,996.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,828.71 / $1,828.71 / $1,828.71	Professional		$1,828.71	$1,828.71	$1,828.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,598.27 / $2,598.27 / $2,598.27	Professional		$2,598.27	$2,598.27	$2,598.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,011.59 / $2,194.46 / $2,560.19	Professional		$2,011.59	$2,194.46	$2,560.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $2,135.57 / $2,743.08	Professional		$1,828.72	$2,135.57	$2,743.08