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 $168.10 / $168.10 / $263.14	Professional		$168.10	$168.10	$263.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.74 / $402.79 / $483.35	Professional		$298.74	$402.79	$483.35
HMSA Facility/Professional Professional Modifier Low / Median / High Price $264.11 / $304.20 / $429.63	Professional		$264.11	$304.20	$429.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.70 / $341.56 / $402.79	Professional		$189.70	$341.56	$402.79
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 $281.23 / $402.79 / $468.59	Professional		$281.23	$402.79	$468.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $252.70 / $401.56	Professional		$50.20	$252.70	$401.56