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 / $181.97 / $302.00	Professional		$93.33	$181.97	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $208.93 / $363.08	Professional		$109.65	$208.93	$363.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $288.40 / $331.13	Professional		$263.03	$288.40	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $251.19 / $316.23	Professional		$89.13	$251.19	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $162.18 / $309.03	Professional		$97.72	$162.18	$309.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $218.78	Professional		$89.13	$120.23	$218.78