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 $45.71 / $98.97 / $547.00	Professional		$45.71	$98.97	$547.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.72 / $158.99 / $190.79	Professional		$129.72	$158.99	$190.79
HMSA Facility/Professional Professional Modifier Low / Median / High Price $80.01 / $93.21 / $2,278.00	Professional		$80.01	$93.21	$2,278.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.18 / $139.91 / $165.35	Professional		$60.18	$139.91	$165.35
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 $103.46 / $158.99 / $300.24	Professional		$103.46	$158.99	$300.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $63.47 / $154.47	Professional		$29.27	$63.47	$154.47