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 $46.72 / $92.53 / $129.37	Professional		$46.72	$92.53	$129.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $129.54 / $144.83	Professional		$70.45	$129.54	$144.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $94.59 / $111.85 / $184.31	Professional		$94.59	$111.85	$184.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.17 / $127.45 / $162.19	Professional		$68.17	$127.45	$162.19
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 $118.18 / $144.83 / $188.13	Professional		$118.18	$144.83	$188.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $107.06 / $164.71	Professional		$29.27	$107.06	$164.71