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 $41.69 / $70.79 / $95.50	Professional		$41.69	$70.79	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $75.86 / $104.71	Professional		$47.86	$75.86	$104.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $2,454.71	Professional		$77.62	$97.72	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $89.13 / $109.65	Professional		$44.67	$89.13	$109.65
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 $60.26 / $87.10 / $120.23	Professional		$60.26	$87.10	$120.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $63.10 / $112.20	Professional		$14.13	$63.10	$112.20