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 $190.55 / $323.59 / $354.81	Professional		$190.55	$323.59	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $346.74	Professional		$309.03	$309.03	$346.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $478.63 / $575.44	Professional		$446.68	$478.63	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $288.40 / $331.13	Professional		$263.03	$288.40	$331.13
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 $251.19 / $323.59 / $416.87	Professional		$251.19	$323.59	$416.87
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $229.09 / $346.74	Professional		$29.51	$229.09	$346.74