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 $35.52 / $35.52 / $35.52	Professional		$35.52	$35.52	$35.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.55 / $43.55 / $43.55	Facility		$43.55	$43.55	$43.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $52.01 / $384.39	Professional		$42.10	$52.01	$384.39
HMSA Facility/Professional Professional Modifier Low / Median / High Price $54.21 / $59.33 / $70.05	Professional		$54.21	$59.33	$70.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $46.00 / $53.66	Professional		$42.16	$46.00	$53.66
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 $36.94 / $57.48 / $62.15	Professional		$36.94	$57.48	$62.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $45.93 / $464.33	Professional		$29.27	$45.93	$464.33