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 $192.98 / $192.98 / $287.17	Professional		$192.98	$192.98	$287.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.19 / $439.10 / $526.91	Professional		$326.19	$439.10	$526.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $296.95 / $342.05 / $452.45	Professional		$296.95	$342.05	$452.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.25 / $372.36 / $439.10	Professional		$212.25	$372.36	$439.10
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 $311.42 / $426.90 / $512.75	Professional		$311.42	$426.90	$512.75
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $54.96 / $251.71 / $436.28	Professional		$54.96	$251.71	$436.28