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 $46.65 / $108.01 / $529.00	Professional		$46.65	$108.01	$529.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.58 / $160.03 / $192.03	Professional		$130.58	$160.03	$192.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $76.62 / $88.25 / $2,278.00	Professional		$76.62	$88.25	$2,278.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $140.82 / $166.43	Professional		$56.33	$140.82	$166.43
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 $108.39 / $160.03 / $305.94	Professional		$108.39	$160.03	$305.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $56.70 / $155.06	Professional		$22.35	$56.70	$155.06