Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $2,754.23	Professional		$1,288.25	$1,778.28	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,691.53	Facility		$2,089.30	$2,089.30	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,019.95 / $4,265.80	Professional		$2,089.30	$3,019.95	$4,265.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,467.37 / $3,981.07	Professional		$2,089.30	$3,467.37	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,862.09 / $2,187.76	Facility		$1,819.70	$1,862.09	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $3,715.35	Professional		$1,621.81	$2,344.23	$3,715.35