Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,089.30 / $3,311.31	Professional		$1,348.96	$2,089.30	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,884.03	Facility		$2,570.40	$2,570.40	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,235.94 / $4,570.88	Professional		$2,570.40	$3,235.94	$4,570.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,715.35 / $4,265.80	Professional		$2,238.72	$3,715.35	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,089.30 / $2,398.83	Facility		$2,041.74	$2,089.30	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $3,981.07	Professional		$1,819.70	$2,570.40	$3,981.07