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 $134.90 / $199.53 / $323.59	Professional		$134.90	$199.53	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $316.23	Professional		$165.96	$239.88	$316.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $288.40 / $1,995.26	Professional		$239.88	$288.40	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $275.42 / $338.84	Professional		$162.18	$275.42	$338.84
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 $117.49 / $229.09 / $295.12	Professional		$117.49	$229.09	$295.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $1,659.59 / $3,981.07	Professional		$162.18	$1,659.59	$3,981.07