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 $87.08 / $112.36 / $204.83	Professional		$87.08	$112.36	$204.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.06 / $131.02 / $154.68	Professional		$102.06	$131.02	$154.68
HMSA Facility/Professional Professional Modifier Low / Median / High Price $138.35 / $165.66 / $192.90	Professional		$138.35	$165.66	$192.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.54 / $136.11 / $173.24	Professional		$100.54	$136.11	$173.24
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 $133.85 / $154.68 / $184.77	Professional		$133.85	$154.68	$184.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $105.14 / $163.11	Professional		$29.27	$105.14	$163.11