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 $151.78 / $165.18 / $342.87	Professional		$151.78	$165.18	$342.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.76 / $260.74 / $312.89	Professional		$212.76	$260.74	$312.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $261.80 / $294.14 / $2,077.00	Professional		$261.80	$294.14	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.45 / $250.31 / $292.02	Professional		$229.45	$250.31	$292.02
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 $188.07 / $258.58 / $306.81	Professional		$188.07	$258.58	$306.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $221.00 / $267.39	Professional		$33.42	$221.00	$267.39