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 $54.18 / $104.24 / $236.05	Professional		$54.18	$104.24	$236.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.80 / $179.90 / $215.88	Professional		$146.80	$179.90	$215.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $93.92 / $108.18 / $2,278.00	Professional		$93.92	$108.18	$2,278.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.83 / $158.31 / $187.10	Professional		$69.83	$158.31	$187.10
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 $123.18 / $179.90 / $347.30	Professional		$123.18	$179.90	$347.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $69.50 / $174.43	Professional		$25.14	$69.50	$174.43