Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $2,344.23	Professional		$1,023.29	$1,513.56	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,398.83	Facility		$1,819.70	$1,819.70	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,691.53 / $3,801.89	Professional		$1,819.70	$2,691.53	$3,801.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,090.30 / $3,548.13	Professional		$1,862.09	$3,090.30	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,584.89 / $1,862.09	Facility		$1,548.82	$1,584.89	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $3,311.31	Professional		$1,380.38	$2,089.30	$3,311.31