Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $3,801.89	Professional		$1,995.26	$2,398.83	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,801.89	Facility		$3,630.78	$3,630.78	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,265.80 / $6,025.60	Professional		$3,630.78	$4,265.80	$6,025.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,897.79 / $5,623.41	Professional		$3,235.94	$4,897.79	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,630.27 / $3,235.94	Facility		$1,071.52	$2,630.27	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,388.44 / $5,248.07	Professional		$2,398.83	$3,388.44	$5,248.07