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 $111.81 / $111.81 / $126.65	Professional		$111.81	$111.81	$126.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.34 / $145.00 / $152.60	Professional		$127.34	$145.00	$152.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $163.46 / $183.66 / $216.72	Professional		$163.46	$183.66	$216.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.60 / $139.19 / $162.40	Professional		$127.60	$139.19	$162.40
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 $118.32 / $145.00 / $192.32	Professional		$118.32	$145.00	$192.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $131.19 / $161.10	Professional		$20.14	$131.19	$161.10