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 $213.80 / $239.88 / $363.08	Professional		$213.80	$239.88	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $309.03 / $891.25	Professional		$239.88	$309.03	$891.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $346.74 / $407.38	Professional		$309.03	$346.74	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $309.03	Professional		$208.93	$251.19	$309.03
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 $218.78 / $302.00 / $416.87	Professional		$218.78	$302.00	$416.87
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $257.04 / $416.87	Professional		$29.51	$257.04	$416.87