Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,890.45 / $3,890.45	Facility		$1,513.56	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $389.05 / $912.01	Professional		$91.20	$389.05	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $457.09 / $1,348.96	Professional		$104.71	$457.09	$1,348.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $1,659.59	Professional		$154.88	$204.17	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $794.33 / $1,047.13	Professional		$85.11	$794.33	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $524.81 / $1,096.48	Professional		$93.33	$524.81	$1,096.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $1,288.25	Professional		$83.18	$123.03	$1,288.25