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 $172.42 / $312.08 / $500.60	Professional		$172.42	$312.08	$500.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.79 / $382.01 / $458.42	Professional		$274.79	$382.01	$458.42
HMSA Facility/Professional Professional Modifier Low / Median / High Price $253.25 / $299.47 / $396.19	Professional		$253.25	$299.47	$396.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.23 / $323.95 / $382.01	Professional		$181.23	$323.95	$382.01
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 $270.72 / $371.53 / $446.04	Professional		$270.72	$371.53	$446.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.71 / $214.41 / $381.67	Professional		$47.71	$214.41	$381.67