Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,370.32 / $8,511.38	Professional		$4,365.16	$5,370.32	$8,511.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $8,128.31	Facility		$6,606.93	$6,606.93	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $9,120.11 / $12,882.50	Professional		$6,606.93	$9,120.11	$12,882.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $10,471.29	Professional		$10,471.29	$10,471.29	$10,471.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $10,471.29 / $12,022.64	Professional		$6,309.57	$10,471.29	$12,022.64
United Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,165.95 / $7,244.36	Facility		$6,025.60	$6,165.95	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $7,585.78 / $11,220.18	Professional		$5,370.32	$7,585.78	$11,220.18