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 $112.20 / $141.25 / $186.21	Professional		$112.20	$141.25	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $190.55	Professional		$131.83	$162.18	$190.55
HMSA Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $2,454.71	Professional		$204.17	$245.47	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $218.78	Professional		$123.03	$165.96	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $234.42	Professional		$158.49	$190.55	$234.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $165.96 / $3,981.07	Professional		$29.51	$165.96	$3,981.07