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 $57.54 / $70.79 / $114.82	Professional		$57.54	$70.79	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $125.89	Professional		$74.13	$109.65	$125.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $128.82	Professional		$87.10	$114.82	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $91.20 / $114.82	Professional		$50.12	$91.20	$114.82
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 $67.61 / $91.20 / $173.78	Professional		$67.61	$91.20	$173.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $72.44 / $229.09	Professional		$29.51	$72.44	$229.09