Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $1,950.00	Facility		$1,950.00	$1,950.00	$1,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $42.00 / $1,950.00	Professional		$32.50	$42.00	$1,950.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,375.00 / $1,875.00 / $2,250.00	Professional		$1,375.00	$1,875.00	$2,250.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $578.86 / $910.00 / $1,705.60	Professional		$578.86	$910.00	$1,705.60
United Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $50.00 / $76.00	Professional		$34.85	$50.00	$76.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $49.30 / $71.83	Professional		$8.69	$49.30	$71.83