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 $75.86 / $93.33 / $120.23	Professional		$75.86	$93.33	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $117.49	Professional		$74.13	$91.20	$117.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $2,454.71	Professional		$120.23	$147.91	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $134.90	Professional		$75.86	$104.71	$134.90
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 $91.20 / $107.15 / $131.83	Professional		$91.20	$107.15	$131.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $81.28 / $120.23	Professional		$29.51	$81.28	$120.23