Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,890.45 / $3,890.45	Facility		$1,513.56	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $154.88	Professional		$79.43	$112.20	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $162.18	Professional		$91.20	$109.65	$162.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $2,454.71	Professional		$147.91	$177.83	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $165.96	Professional		$91.20	$131.83	$165.96
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 $109.65 / $134.90 / $186.21	Professional		$109.65	$134.90	$186.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $107.15 / $177.83	Professional		$29.51	$107.15	$177.83