Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,765.20 / $2,658.00 / $2,658.00	Facility		$1,765.20	$2,658.00	$2,658.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.32 / $468.32 / $468.32	Professional		$468.32	$468.32	$468.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $430.43 / $430.43 / $430.43	Facility		$430.43	$430.43	$430.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.06 / $666.06 / $666.06	Professional		$666.06	$666.06	$666.06
HMSA Facility/Professional Professional Modifier Low / Median / High Price $875.00 / $875.00 / $875.00	Professional		$875.00	$875.00	$875.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $47.00 / $47.00	Professional		$47.00	$47.00	$47.00
United Facility/Professional Professional Modifier Low / Median / High Price $349.98 / $623.19 / $1,175.92	Professional		$349.98	$623.19	$1,175.92