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 $38.90 / $79.43 / $91.20	Professional		$38.90	$79.43	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $91.20	Professional		$83.18	$83.18	$91.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $1,995.26 / $2,818.38	Professional		$93.33	$1,995.26	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $69.18 / $81.28	Professional		$63.10	$69.18	$81.28
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 $67.61 / $87.10 / $109.65	Professional		$67.61	$87.10	$109.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $85.11 / $125.89	Professional		$11.48	$85.11	$125.89