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 $41.41 / $43.56 / $80.95	Professional		$41.41	$43.56	$80.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $85.65 / $97.83	Professional		$49.35	$85.65	$97.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $63.08 / $77.11 / $119.78	Professional		$63.08	$77.11	$119.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.57 / $86.09 / $109.56	Professional		$43.57	$86.09	$109.56
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 $79.83 / $97.83 / $115.43	Professional		$79.83	$97.83	$115.43
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $57.30 / $104.77	Professional		$29.27	$57.30	$104.77