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 $93.33 / $114.82 / $173.78	Professional		$93.33	$114.82	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $147.91	Professional		$128.82	$128.82	$147.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $2,691.53	Professional		$162.18	$194.98	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $173.78	Professional		$97.72	$134.90	$173.78
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 $112.20 / $131.83 / $190.55	Professional		$112.20	$131.83	$190.55
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $123.03 / $186.21	Professional		$29.51	$123.03	$186.21