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 $449.31 / $483.18 / $684.42	Professional		$449.31	$483.18	$684.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.89 / $539.08 / $646.89	Professional		$439.89	$539.08	$646.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $679.14 / $763.04 / $2,077.00	Professional		$679.14	$763.04	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.84 / $517.51 / $595.42	Professional		$467.84	$517.51	$595.42
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 $439.89 / $539.08 / $697.88	Professional		$439.89	$539.08	$697.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $514.76 / $629.37	Professional		$72.25	$514.76	$629.37