Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $954.99 / $1,288.25	Professional		$776.25	$954.99	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,412.54	Facility		$1,202.26	$1,202.26	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $2,238.72	Professional		$1,202.26	$1,584.89	$2,238.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,905.46	Professional		$1,819.70	$1,819.70	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $2,089.30	Professional		$1,096.48	$1,819.70	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $831.76 / $1,023.29	Facility		$812.83	$831.76	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $1,995.26	Professional		$954.99	$1,380.38	$1,995.26