Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,921.65	Professional		$1,902.62	$1,902.62	$1,921.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,902.62	Professional		$1,902.62	$1,902.62	$1,902.62
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,252.35 / $3,613.72 / $3,968.77	Professional		$3,252.35	$3,613.72	$3,968.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,092.88 / $2,283.15 / $2,663.67	Professional		$2,092.88	$2,283.15	$2,663.67
United Facility/Professional Professional Modifier Low / Median / High Price $1,712.36 / $1,902.62 / $2,853.93	Professional		$1,712.36	$1,902.62	$2,853.93