Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,466.84 / $4,466.84	Facility		$1,778.28	$4,466.84	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $165.96 / $181.97	Professional		$85.11	$165.96	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $186.21	Professional		$158.49	$158.49	$186.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $5,888.44 / $8,317.64	Professional		$204.17	$5,888.44	$8,317.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $141.25 / $162.18	Professional		$128.82	$141.25	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $213.80	Professional		$131.83	$165.96	$213.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $3,235.94 / $6,165.95	Professional		$186.21	$3,235.94	$6,165.95