Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,884.03 / $2,884.03	Facility		$933.25	$2,884.03	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $107.15 / $181.97	Professional		$57.54	$107.15	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $131.83 / $169.82	Professional		$63.10	$131.83	$169.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $2,454.71	Professional		$102.33	$125.89	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $141.25 / $177.83	Professional		$63.10	$141.25	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $138.04 / $186.21	Professional		$74.13	$138.04	$186.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $1,202.26 / $3,548.13	Professional		$54.95	$1,202.26	$3,548.13