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 $94.88 / $101.55 / $125.36	Professional		$94.88	$101.55	$125.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.16 / $125.17 / $265.41	Professional		$109.16	$125.17	$265.41
HMSA Facility/Professional Professional Modifier Low / Median / High Price $145.27 / $163.22 / $187.70	Professional		$145.27	$163.22	$187.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.21 / $119.14 / $138.99	Professional		$109.21	$119.14	$138.99
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 $101.27 / $130.35 / $173.56	Professional		$101.27	$130.35	$173.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $108.50 / $174.66	Professional		$17.39	$108.50	$174.66