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 $95.50 / $134.90 / $218.78	Professional		$95.50	$134.90	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $208.93	Professional		$169.82	$169.82	$208.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $2,454.71	Professional		$181.97	$229.09	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $199.53 / $229.09	Professional		$112.20	$199.53	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $257.04	Professional		$120.23	$181.97	$257.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $138.04 / $190.55	Professional		$27.54	$138.04	$190.55