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 $116.79 / $225.46 / $597.66	Professional		$116.79	$225.46	$597.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.19 / $450.20 / $540.24	Professional		$342.19	$450.20	$540.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $228.17 / $265.83 / $410.30	Professional		$228.17	$265.83	$410.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.91 / $381.77 / $450.20	Professional		$161.91	$381.77	$450.20
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 $302.32 / $450.20 / $514.65	Professional		$302.32	$450.20	$514.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $237.63 / $439.17	Professional		$54.90	$237.63	$439.17