Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,200.00	Facility		$1,200.00	$1,200.00	$1,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $53.00 / $1,200.00	Professional		$32.50	$53.00	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $825.00 / $1,125.00 / $1,350.00	Professional		$825.00	$1,125.00	$1,350.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $356.22 / $560.00 / $1,049.59	Professional		$356.22	$560.00	$1,049.59
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $64.00 / $77.00	Professional		$30.00	$64.00	$77.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $49.30 / $71.83	Professional		$8.69	$49.30	$71.83