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 $128.82 / $218.78 / $234.42	Professional		$128.82	$218.78	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $234.42	Professional		$208.93	$208.93	$234.42
HMSA Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $389.05 / $467.74	Professional		$363.08	$389.05	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $194.98 / $229.09	Professional		$177.83	$194.98	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $281.84	Professional		$169.82	$218.78	$281.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $158.49 / $234.42	Professional		$29.51	$158.49	$234.42