Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,096.48	Professional		$602.56	$758.58	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $2,511.89	Facility		$851.14	$851.14	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $2,818.38 / $3,981.07	Professional		$851.14	$2,818.38	$3,981.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,388.44	Professional		$3,235.94	$3,235.94	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,235.94 / $3,715.35	Professional		$1,949.84	$3,235.94	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $851.14 / $870.96	Facility		$676.08	$851.14	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $2,187.76 / $3,467.37	Professional		$812.83	$2,187.76	$3,467.37