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 $70.16 / $94.00 / $128.18	Professional		$70.16	$94.00	$128.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.27 / $161.19 / $166.82	Professional		$126.27	$161.19	$166.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $141.62 / $167.46 / $195.51	Professional		$141.62	$167.46	$195.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.88 / $141.85 / $180.53	Professional		$96.88	$141.85	$180.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.53 / $161.19 / $206.30	Professional		$131.53	$161.19	$206.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $119.90 / $174.16	Professional		$29.27	$119.90	$174.16