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 $176.62 / $176.62 / $272.98	Professional		$176.62	$176.62	$272.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.11 / $489.31 / $587.17	Professional		$363.11	$489.31	$587.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $306.87 / $357.52 / $520.84	Professional		$306.87	$357.52	$520.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.42 / $414.94 / $489.31	Professional		$218.42	$414.94	$489.31
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 $289.70 / $483.17 / $561.09	Professional		$289.70	$483.17	$561.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $259.82 / $487.38	Professional		$61.40	$259.82	$487.38