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 $98.18 / $138.33 / $240.27	Professional		$98.18	$138.33	$240.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.87 / $187.34 / $224.81	Professional		$152.87	$187.34	$224.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $160.58 / $184.96 / $211.41	Professional		$160.58	$184.96	$211.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.08 / $164.86 / $194.83	Professional		$118.08	$164.86	$194.83
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 $152.87 / $187.34 / $369.98	Professional		$152.87	$187.34	$369.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $127.39 / $172.39	Professional		$24.85	$127.39	$172.39