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 $6.76 / $18.48 / $40.21	Professional		$6.76	$18.48	$40.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.27 / $32.19 / $38.63	Professional		$26.27	$32.19	$38.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $13.40 / $35.86	Professional		$11.64	$13.40	$35.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $28.33 / $33.47	Professional		$8.46	$28.33	$33.47
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 $23.65 / $32.19 / $58.42	Professional		$23.65	$32.19	$58.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $22.14 / $26.35	Professional		$18.45	$22.14	$26.35