Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $2,137.96	Professional		$891.25	$1,258.93	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,754.23	Facility		$1,621.81	$1,621.81	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,090.30 / $4,365.16	Professional		$1,621.81	$3,090.30	$4,365.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,715.35	Professional		$3,548.13	$3,548.13	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,548.13 / $4,073.80	Professional		$2,511.89	$3,548.13	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,380.38 / $1,621.81	Facility		$1,348.96	$1,380.38	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,454.71 / $3,890.45	Professional		$1,202.26	$2,454.71	$3,890.45