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 $39.81 / $67.61 / $125.89	Professional		$39.81	$67.61	$125.89
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $21.88 / $21.88 / $21.88	Professional	52	$21.88	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $77.62 / $95.50	Professional		$46.77	$77.62	$95.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $2,398.83	Professional		$74.13	$95.50	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $74.13 / $91.20	Professional		$42.66	$74.13	$91.20
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 $57.54 / $77.62 / $109.65	Professional		$57.54	$77.62	$109.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $60.26 / $104.71	Professional		$29.51	$60.26	$104.71