Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,407.05	Professional		$1,393.12	$1,393.12	$1,407.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,393.12	Professional		$1,393.12	$1,393.12	$1,393.12
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,662.10 / $3,131.88 / $3,439.59	Professional		$2,662.10	$3,131.88	$3,439.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,532.43 / $1,671.74 / $1,950.37	Professional		$1,532.43	$1,671.74	$1,950.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,879.96 / $2,089.67	Professional		$1,393.12	$1,879.96	$2,089.67