Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $1,995.26	Professional		$831.76	$1,288.25	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,737.80	Facility		$1,548.82	$1,548.82	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,754.23	Professional		$1,548.82	$1,949.84	$2,754.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,238.72 / $2,570.40	Professional		$1,348.96	$2,238.72	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,288.25 / $1,513.56	Facility		$1,258.93	$1,288.25	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $2,398.83	Professional		$1,122.02	$1,584.89	$2,398.83