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 $144.44 / $144.44 / $243.41	Professional		$144.44	$144.44	$243.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.73 / $362.19 / $434.63	Professional		$267.73	$362.19	$434.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $227.40 / $261.93 / $385.45	Professional		$227.40	$261.93	$385.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.37 / $307.14 / $362.19	Professional		$163.37	$307.14	$362.19
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 $253.40 / $350.16 / $418.86	Professional		$253.40	$350.16	$418.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.01 / $228.17 / $360.12	Professional		$45.01	$228.17	$360.12