Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,513.56	Professional		$1,412.54	$1,412.54	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,737.80	Professional		$1,412.54	$1,412.54	$1,737.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,548.82 / $1,862.09	Professional		$1,412.54	$1,548.82	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $218.78	Professional		$144.54	$173.78	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $933.25 / $1,584.89	Professional		$125.89	$933.25	$1,584.89