Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $2,884.03 / $2,884.03	Facility		$194.98	$2,884.03	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $38.90 / $75.86	Professional		$19.05	$38.90	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $58.88	Professional		$47.86	$47.86	$58.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $2,454.71	Professional		$39.81	$54.95	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $52.48 / $61.66	Professional		$24.55	$52.48	$61.66
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 $30.20 / $47.86 / $74.13	Professional		$30.20	$47.86	$74.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $29.51 / $53.70	Professional		$20.89	$29.51	$53.70