Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $3,630.78	Professional		$1,621.81	$2,290.87	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,890.45	Facility		$2,691.53	$2,691.53	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,365.16 / $6,165.95	Professional		$2,691.53	$4,365.16	$6,165.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $5,011.87 / $5,754.40	Professional		$2,951.21	$5,011.87	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,511.89 / $2,951.21	Facility		$2,454.71	$2,511.89	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,388.44 / $5,370.32	Professional		$2,187.76	$3,388.44	$5,370.32