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 $51.29 / $77.62 / $107.15	Professional		$51.29	$77.62	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $117.49	Professional		$57.54	$85.11	$117.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $117.49 / $2,454.71	Professional		$93.33	$117.49	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $97.72 / $120.23	Professional		$52.48	$97.72	$120.23
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 $72.44 / $95.50 / $134.90	Professional		$72.44	$95.50	$134.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $75.86 / $125.89	Professional		$50.12	$75.86	$125.89