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 $33.22 / $41.26 / $58.63	Professional		$33.22	$41.26	$58.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.32 / $48.39 / $51.59	Professional		$41.32	$48.39	$51.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $58.87 / $65.89 / $76.61	Professional		$58.87	$65.89	$76.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.58 / $46.45 / $54.19	Professional		$42.58	$46.45	$54.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $2,446.00 / $2,446.00	Facility		$2,446.00	$2,446.00	$2,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $48.39 / $64.97	Professional		$39.47	$48.39	$64.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $35.57 / $75.22	Professional		$6.70	$35.57	$75.22