Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $2,747.00 / $2,747.00	Facility		$2,747.00	$2,747.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $93.89 / $201.76	Professional		$76.31	$93.89	$201.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.51 / $153.81 / $184.58	Professional		$125.51	$153.81	$184.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $72.62 / $79.70 / $2,518.19	Professional		$72.62	$79.70	$2,518.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.99 / $135.36 / $159.97	Professional		$60.99	$135.36	$159.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.85 / $153.81 / $273.08	Professional		$111.85	$153.81	$273.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $85.57 / $135.69	Professional		$29.27	$85.57	$135.69