Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $2,898.00 / $2,898.00	Facility		$2,747.00	$2,898.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.18 / $220.05 / $363.36	Professional		$81.18	$220.05	$363.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.17 / $237.08 / $491.36	Professional		$115.17	$237.08	$491.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $135.19 / $159.87 / $405.72	Professional		$135.19	$159.87	$405.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.92 / $255.67 / $295.19	Professional		$90.92	$255.67	$295.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $237.08 / $290.54 / $438.86	Professional		$237.08	$290.54	$438.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $46.81 / $119.37 / $371.56	Professional		$46.81	$119.37	$371.56