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 $164.02 / $164.02 / $238.24	Professional		$164.02	$164.02	$238.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.95 / $406.58 / $487.89	Professional		$302.95	$406.58	$487.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $284.49 / $327.69 / $401.00	Professional		$284.49	$327.69	$401.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.43 / $344.78 / $406.58	Professional		$202.43	$344.78	$406.58
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 $280.35 / $397.69 / $478.07	Professional		$280.35	$397.69	$478.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.10 / $240.87 / $405.64	Professional		$51.10	$240.87	$405.64