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 $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $149.97 / $171.86	Professional		$149.97	$149.97	$171.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $187.80 / $205.53 / $254.08	Professional		$187.80	$205.53	$254.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.97 / $143.97 / $167.97	Professional		$131.97	$143.97	$167.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $2,446.00 / $2,446.00	Facility		$2,446.00	$2,446.00	$2,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.38 / $156.86 / $202.17	Professional		$122.38	$156.86	$202.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $162.72 / $448.21	Professional		$21.00	$162.72	$448.21