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 $178.91 / $217.41 / $341.42	Professional		$178.91	$217.41	$341.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.46 / $279.83 / $279.83	Professional		$215.46	$279.83	$279.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $319.43 / $358.89 / $423.49	Professional		$319.43	$358.89	$423.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.25 / $268.63 / $313.39	Professional		$246.25	$268.63	$313.39
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 $258.55 / $293.04 / $369.95	Professional		$258.55	$293.04	$369.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $204.44 / $426.64	Professional		$29.27	$204.44	$426.64