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 $205.23 / $238.52 / $253.59	Professional		$205.23	$238.52	$253.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.60 / $548.61 / $548.61	Professional		$270.60	$548.61	$548.61
HMSA Facility/Professional Professional Modifier Low / Median / High Price $390.92 / $449.78 / $4,334.00	Professional		$390.92	$449.78	$4,334.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $482.78 / $526.66 / $614.45	Professional		$482.78	$526.66	$614.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $447.67 / $548.61 / $710.87	Professional		$447.67	$548.61	$710.87
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $397.09 / $597.96	Professional		$29.27	$397.09	$597.96