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 $66.43 / $117.34 / $219.43	Professional		$66.43	$117.34	$219.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $159.60 / $191.52	Professional		$130.22	$159.60	$191.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $108.17 / $129.03 / $200.45	Professional		$108.17	$129.03	$200.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.36 / $140.44 / $165.98	Professional		$81.36	$140.44	$165.98
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 $130.22 / $159.60 / $316.48	Professional		$130.22	$159.60	$316.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $92.30 / $175.33	Professional		$29.27	$92.30	$175.33