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 $57.34 / $107.04 / $548.79	Professional		$57.34	$107.04	$548.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.45 / $150.51 / $180.62	Professional		$118.45	$150.51	$180.62
HMSA Facility/Professional Professional Modifier Low / Median / High Price $92.91 / $107.02 / $132.10	Professional		$92.91	$107.02	$132.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $127.63 / $150.51	Professional		$67.84	$127.63	$150.51
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 $83.87 / $146.03 / $150.51	Professional		$83.87	$146.03	$150.51
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.11 / $128.75 / $4,023.00	Professional		$57.11	$128.75	$4,023.00