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 $151.36 / $251.19 / $380.19	Professional		$151.36	$251.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $316.23 / $426.58	Professional		$181.97	$316.23	$426.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $323.59 / $426.58	Professional		$275.42	$323.59	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $371.54 / $467.74	Professional		$181.97	$371.54	$467.74
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 $138.04 / $269.15 / $407.38	Professional		$138.04	$269.15	$407.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $251.19 / $398.11	Professional		$50.12	$251.19	$398.11