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 $55.89 / $97.60 / $615.00	Professional		$55.89	$97.60	$615.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.44 / $179.46 / $215.36	Professional		$146.44	$179.46	$215.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $98.22 / $113.13 / $2,278.00	Professional		$98.22	$113.13	$2,278.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.18 / $157.93 / $186.64	Professional		$71.18	$157.93	$186.64
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 $126.13 / $179.46 / $359.50	Professional		$126.13	$179.46	$359.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $72.68 / $176.73	Professional		$25.48	$72.68	$176.73