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 $208.78 / $242.49 / $454.09	Professional		$208.78	$242.49	$454.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.95 / $392.99 / $471.59	Professional		$305.95	$392.99	$471.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $392.79 / $441.32 / $2,077.00	Professional		$392.79	$441.32	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $311.89 / $354.43 / $408.71	Professional		$311.89	$354.43	$408.71
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 $284.58 / $392.99 / $460.62	Professional		$284.58	$392.99	$460.62
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.53 / $322.85 / $404.21	Professional		$50.53	$322.85	$404.21