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 $97.00 / $132.88 / $741.00	Professional		$97.00	$132.88	$741.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $163.81 / $194.00	Professional		$130.22	$163.81	$194.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $178.64 / $207.56 / $232.17	Professional		$178.64	$207.56	$232.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $170.72 / $217.28	Professional		$130.66	$170.72	$217.28
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 $158.30 / $194.00 / $234.21	Professional		$158.30	$194.00	$234.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $135.76 / $201.49	Professional		$29.27	$135.76	$201.49