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 $28.10 / $46.32 / $86.01	Professional		$28.10	$46.32	$86.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $66.90 / $66.90	Professional		$46.42	$66.90	$66.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $45.59 / $52.45 / $64.90	Professional		$45.59	$52.45	$64.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $58.87 / $74.93	Professional		$35.15	$58.87	$74.93
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 $59.62 / $74.98 / $81.56	Professional		$59.62	$74.98	$81.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $48.15 / $62.02	Professional		$39.65	$48.15	$62.02