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 $149.69 / $159.94 / $199.94	Professional		$149.69	$159.94	$199.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.96 / $198.47 / $419.90	Professional		$171.96	$198.47	$419.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $214.22 / $240.68 / $276.77	Professional		$214.22	$240.68	$276.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.11 / $189.94 / $221.59	Professional		$174.11	$189.94	$221.59
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 $161.04 / $197.85 / $296.27	Professional		$161.04	$197.85	$296.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $176.25 / $287.20	Professional		$27.56	$176.25	$287.20