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 $54.95 / $91.20 / $162.18	Professional		$54.95	$91.20	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $117.49 / $144.54	Professional		$60.26	$117.49	$144.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $2,454.71	Professional		$100.00	$123.03	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $120.23 / $151.36	Professional		$61.66	$120.23	$151.36
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 $72.44 / $117.49 / $162.18	Professional		$72.44	$117.49	$162.18
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $107.15 / $165.96	Professional		$29.51	$107.15	$165.96