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 $21.60 / $59.00 / $167.96	Professional		$21.60	$59.00	$167.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.72 / $134.46 / $161.36	Professional		$109.72	$134.46	$161.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $42.80 / $52.91 / $147.59	Professional		$42.80	$52.91	$147.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.98 / $118.33 / $139.84	Professional		$15.98	$118.33	$139.84
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 $107.90 / $134.46 / $251.08	Professional		$107.90	$134.46	$251.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $122.81 / $146.56	Professional		$102.59	$122.81	$146.56