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 $24.78 / $25.32 / $25.32	Professional		$24.78	$25.32	$25.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $30.11 / $43.57	Professional		$27.10	$30.11	$43.57
HMSA Facility/Professional Professional Modifier Low / Median / High Price $33.01 / $37.02 / $44.19	Professional		$33.01	$37.02	$44.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $28.91 / $33.72	Professional		$26.50	$28.91	$33.72
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 $24.57 / $31.67 / $40.98	Professional		$24.57	$31.67	$40.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $22.52 / $22.52	Professional		$22.52	$22.52	$22.52