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 $61.66 / $114.82 / $218.78	Professional		$61.66	$114.82	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $186.21	Professional		$154.88	$154.88	$186.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $2,630.27	Professional		$114.82	$154.88	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $165.96 / $194.98	Professional		$69.18	$165.96	$194.98
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 $89.13 / $144.54 / $257.04	Professional		$89.13	$144.54	$257.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $81.28 / $186.21	Professional		$26.92	$81.28	$186.21