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 $70.73 / $148.75 / $210.48	Professional		$70.73	$148.75	$210.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.24 / $107.24 / $107.24	Facility		$107.24	$107.24	$107.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $159.66 / $308.72	Professional		$79.45	$159.66	$308.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $209.37 / $246.32 / $315.56	Professional		$209.37	$246.32	$315.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.17 / $221.64 / $268.98	Professional		$73.17	$221.64	$268.98
United Facility/Professional Professional Modifier Low / Median / High Price $183.28 / $268.98 / $339.50	Professional		$183.28	$268.98	$339.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $153.93 / $377.53	Professional		$72.50	$153.93	$377.53