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 $162.63 / $162.63 / $162.63	Professional		$162.63	$162.63	$162.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.74 / $178.74 / $213.58	Professional		$178.74	$178.74	$213.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $217.78 / $238.33 / $294.64	Professional		$217.78	$238.33	$294.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.29 / $171.59 / $200.19	Professional		$157.29	$171.59	$200.19
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 $145.85 / $190.42 / $243.50	Professional		$145.85	$190.42	$243.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $200.10 / $312.20	Professional		$25.21	$200.10	$312.20