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 $37.00 / $79.67 / $392.00	Professional		$37.00	$79.67	$392.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.79 / $151.69 / $182.04	Professional		$123.79	$151.69	$182.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $82.02 / $2,278.00	Professional		$71.20	$82.02	$2,278.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.86 / $133.50 / $157.77	Professional		$52.86	$133.50	$157.77
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 $95.09 / $151.69 / $284.58	Professional		$95.09	$151.69	$284.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $56.49 / $147.53	Professional		$29.27	$56.49	$147.53