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 $73.09 / $106.98 / $181.66	Professional		$73.09	$106.98	$181.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.18 / $141.15 / $169.38	Professional		$115.18	$141.15	$169.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $134.81 / $170.02	Professional		$114.00	$134.81	$170.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.12 / $124.21 / $146.80	Professional		$84.12	$124.21	$146.80
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 $116.28 / $141.15 / $273.30	Professional		$116.28	$141.15	$273.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $90.44 / $129.58	Professional		$18.68	$90.44	$129.58