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 $161.57 / $200.67 / $200.67	Professional		$161.57	$200.67	$200.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.69 / $234.69 / $248.05	Professional		$200.69	$234.69	$248.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $283.44 / $326.12 / $2,342.00	Professional		$283.44	$326.12	$2,342.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.53 / $225.30 / $262.85	Professional		$206.53	$225.30	$262.85
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 $218.64 / $247.86 / $312.12	Professional		$218.64	$247.86	$312.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $230.62 / $8,145.00	Professional		$29.27	$230.62	$8,145.00