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 $99.62 / $106.58 / $134.21	Professional		$99.62	$106.58	$134.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.70 / $132.93 / $276.70	Professional		$114.70	$132.93	$276.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $142.49 / $160.10 / $184.12	Professional		$142.49	$160.10	$184.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.57 / $126.07 / $147.08	Professional		$115.57	$126.07	$147.08
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 $107.16 / $148.41 / $245.22	Professional		$107.16	$148.41	$245.22
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.26 / $119.62 / $191.77	Professional		$18.26	$119.62	$191.77