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 $65.90 / $70.16 / $101.89	Professional		$65.90	$70.16	$101.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.56 / $82.56 / $92.16	Professional		$82.56	$82.56	$92.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $91.15 / $104.87 / $2,540.00	Professional		$91.15	$104.87	$2,540.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.66 / $79.26 / $92.47	Professional		$72.66	$79.26	$92.47
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 $67.37 / $87.32 / $109.11	Professional		$67.37	$87.32	$109.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $84.86 / $125.67	Professional		$11.46	$84.86	$125.67