Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $2,511.89	Professional		$1,023.29	$1,621.81	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $2,818.38	Facility		$1,479.11	$1,479.11	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $3,162.28 / $4,466.84	Professional		$1,479.11	$3,162.28	$4,466.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,630.78 / $4,168.69	Professional		$2,187.76	$3,630.78	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,621.81 / $1,862.09	Facility		$1,584.89	$1,621.81	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,454.71 / $3,890.45	Professional		$1,380.38	$2,454.71	$3,890.45