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 $83.70 / $132.88 / $173.54	Professional		$83.70	$132.88	$173.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.58 / $236.00 / $283.20	Professional		$192.58	$236.00	$283.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $150.51 / $173.36 / $2,278.00	Professional		$150.51	$173.36	$2,278.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.83 / $200.00 / $236.00	Professional		$111.83	$200.00	$236.00
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 $173.93 / $236.00 / $465.66	Professional		$173.93	$236.00	$465.66
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $111.38 / $226.41	Professional		$29.27	$111.38	$226.41