Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,890.45 / $3,890.45	Facility		$1,513.56	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $125.89 / $229.09	Professional		$72.44	$125.89	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $199.53	Professional		$162.18	$162.18	$199.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $223.87 / $2,630.27	Professional		$134.90	$223.87	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $186.21 / $208.93	Professional		$89.13	$186.21	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $245.47	Professional		$102.33	$162.18	$245.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $102.33 / $190.55	Professional		$29.51	$102.33	$190.55