Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,513.56	Professional		$691.83	$954.99	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,698.24	Facility		$1,258.93	$1,258.93	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $2,691.53	Professional		$1,258.93	$1,905.46	$2,691.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,290.87	Professional		$2,187.76	$2,187.76	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,187.76 / $2,511.89	Professional		$1,318.26	$2,187.76	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,047.13 / $1,230.27	Facility		$1,023.29	$1,047.13	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,698.24 / $2,344.23	Professional		$912.01	$1,698.24	$2,344.23