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 $205.37 / $205.37 / $404.59	Professional		$205.37	$205.37	$404.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $560.67 / $733.18 / $879.81	Professional		$560.67	$733.18	$879.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $330.74 / $385.33 / $707.69	Professional		$330.74	$385.33	$707.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $224.51 / $621.73 / $733.18	Professional		$224.51	$621.73	$733.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $470.04 / $733.18 / $803.55	Professional		$470.04	$733.18	$803.55
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $85.71 / $281.32 / $680.34	Professional		$85.71	$281.32	$680.34