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 $42.66 / $61.66 / $104.71	Professional		$42.66	$61.66	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $107.15	Professional		$87.10	$87.10	$107.15
HMSA Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $2,454.71	Professional		$85.11	$104.71	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $102.33 / $123.03	Professional		$51.29	$102.33	$123.03
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 $56.23 / $87.10 / $128.82	Professional		$56.23	$87.10	$128.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $64.57 / $97.72	Professional		$14.13	$64.57	$97.72