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 $109.65 / $190.55 / $208.93	Professional		$109.65	$190.55	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $190.55	Professional		$186.21	$186.21	$190.55
HMSA Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $269.15	Professional		$208.93	$263.03	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $158.49 / $186.21	Professional		$144.54	$158.49	$186.21
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 $151.36 / $194.98 / $257.04	Professional		$151.36	$194.98	$257.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $138.04 / $204.17	Professional		$25.70	$138.04	$204.17