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 $60.00 / $126.37 / $581.28	Professional		$60.00	$126.37	$581.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.25 / $161.74 / $189.70	Professional		$75.25	$161.74	$189.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $100.64 / $119.00 / $245.50	Professional		$100.64	$119.00	$245.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.91 / $166.94 / $212.46	Professional		$72.91	$166.94	$212.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.09 / $177.53 / $238.40	Professional		$163.09	$177.53	$238.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $137.36 / $214.98	Professional		$29.27	$137.36	$214.98