Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,737.80	Professional		$831.76	$1,122.02	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,949.84	Facility		$1,348.96	$1,348.96	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,187.76 / $3,090.30	Professional		$1,348.96	$2,187.76	$3,090.30
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,630.27	Professional		$2,511.89	$2,511.89	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,511.89 / $2,884.03	Professional		$1,513.56	$2,511.89	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,230.27 / $1,445.44	Facility		$1,202.26	$1,230.27	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $2,754.23	Professional		$1,071.52	$1,737.80	$2,754.23