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 $64.57 / $77.62 / $112.20	Professional		$64.57	$77.62	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $97.72	Professional		$83.18	$83.18	$97.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $123.03 / $2,691.53	Professional		$102.33	$123.03	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $109.65	Professional		$61.66	$91.20	$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 $79.43 / $95.50 / $117.49	Professional		$79.43	$95.50	$117.49
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $69.18 / $102.33	Professional		$29.51	$69.18	$102.33