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 $145.85 / $145.85 / $145.85	Professional		$145.85	$145.85	$145.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.37 / $167.37 / $167.37	Professional		$167.37	$167.37	$167.37
HMSA Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $153.97 / $186.53	Professional		$140.69	$153.97	$186.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.74 / $133.90 / $156.21	Professional		$122.74	$133.90	$156.21
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 $78.06 / $148.28 / $279.41	Professional		$78.06	$148.28	$279.41
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $29.27 / $29.27	Professional		$29.27	$29.27	$29.27