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 $73.08 / $78.12 / $99.17	Professional		$73.08	$78.12	$99.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.03 / $103.45 / $205.49	Professional		$84.03	$103.45	$205.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $120.57 / $135.47 / $155.79	Professional		$120.57	$135.47	$155.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.46 / $92.14 / $107.49	Professional		$84.46	$92.14	$107.49
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 $78.31 / $105.59 / $134.01	Professional		$78.31	$105.59	$134.01
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $71.14 / $107.12	Professional		$13.39	$71.14	$107.12