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 $82.43 / $99.68 / $99.68	Professional		$82.43	$99.68	$99.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.53 / $129.85 / $129.85	Professional		$99.53	$129.85	$129.85
HMSA Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $166.47 / $196.43	Professional		$148.16	$166.47	$196.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.27 / $124.66 / $145.43	Professional		$114.27	$124.66	$145.43
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 $105.96 / $129.85 / $173.64	Professional		$105.96	$129.85	$173.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $95.66 / $202.24	Professional		$18.01	$95.66	$202.24