Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $89.13 / $275.42	Professional		$44.67	$89.13	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $158.49	Professional		$128.82	$128.82	$158.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $2,630.27	Professional		$83.18	$125.89	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $138.04 / $165.96	Professional		$48.98	$138.04	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $102.33 / $204.17	Professional		$57.54	$102.33	$204.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $63.10 / $154.88	Professional		$29.51	$63.10	$154.88