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 $126.69 / $204.76 / $236.69	Professional		$126.69	$204.76	$236.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.55 / $235.11 / $273.83	Professional		$150.55	$235.11	$273.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $196.26 / $234.32 / $342.53	Professional		$196.26	$234.32	$342.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.99 / $240.97 / $306.68	Professional		$139.99	$240.97	$306.68
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 $225.66 / $295.23 / $356.67	Professional		$225.66	$295.23	$356.67
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $37.45 / $166.17 / $297.27	Professional		$37.45	$166.17	$297.27