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 $208.90 / $208.90 / $208.90	Professional		$208.90	$208.90	$208.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.46 / $237.80 / $285.36	Professional		$187.46	$237.80	$285.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $259.20 / $283.66 / $334.90	Professional		$259.20	$283.66	$334.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.26 / $228.29 / $266.33	Professional		$209.26	$228.29	$266.33
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 $194.04 / $237.80 / $314.67	Professional		$194.04	$237.80	$314.67
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $234.59 / $13,316.00	Professional		$32.92	$234.59	$13,316.00