Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,345.76 / $2,747.00 / $3,883.00	Facility		$1,345.76	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $111.56 / $150.01	Professional		$41.75	$111.56	$150.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.83 / $119.96 / $143.96	Professional		$94.83	$119.96	$143.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $82.31 / $194.39	Professional		$71.45	$82.31	$194.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.15 / $101.73 / $119.96	Professional		$49.15	$101.73	$119.96
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 $97.89 / $119.96 / $166.10	Professional		$97.89	$119.96	$166.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.49 / $60.98 / $133.38	Professional		$40.49	$60.98	$133.38