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 $56.50 / $142.61 / $502.00	Professional		$56.50	$142.61	$502.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.36 / $179.36 / $215.24	Professional		$146.36	$179.36	$215.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $97.73 / $112.57 / $2,278.00	Professional		$97.73	$112.57	$2,278.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.28 / $157.84 / $186.54	Professional		$73.28	$157.84	$186.54
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 $118.25 / $179.36 / $341.42	Professional		$118.25	$179.36	$341.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $72.31 / $172.86	Professional		$24.92	$72.31	$172.86