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 $52.48 / $93.33 / $158.49	Professional		$52.48	$93.33	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $114.82 / $162.18	Professional		$69.18	$114.82	$162.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $173.78	Professional		$95.50	$123.03	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $138.04 / $177.83	Professional		$52.48	$138.04	$177.83
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 $46.77 / $93.33 / $181.97	Professional		$46.77	$93.33	$181.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $64.57 / $158.49	Professional		$19.95	$64.57	$158.49