Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,187.76 / $3,388.44	Professional		$1,445.44	$2,187.76	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $3,715.35	Facility		$2,630.27	$2,630.27	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,168.69 / $5,888.44	Professional		$2,630.27	$4,168.69	$5,888.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,786.30 / $5,495.41	Professional		$2,818.38	$4,786.30	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,238.72 / $2,630.27	Facility		$2,187.76	$2,238.72	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,235.94 / $5,128.61	Professional		$1,949.84	$3,235.94	$5,128.61