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 $63.50 / $113.62 / $260.20	Professional		$63.50	$113.62	$260.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.29 / $198.89 / $238.67	Professional		$162.29	$198.89	$238.67
HMSA Facility/Professional Professional Modifier Low / Median / High Price $110.69 / $127.50 / $2,278.00	Professional		$110.69	$127.50	$2,278.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.38 / $175.02 / $200.00	Professional		$83.38	$175.02	$200.00
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 $146.33 / $198.89 / $384.76	Professional		$146.33	$198.89	$384.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $81.91 / $191.66	Professional		$27.63	$81.91	$191.66