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 $180.86 / $219.87 / $219.87	Professional		$180.86	$219.87	$219.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.71 / $276.18 / $305.61	Professional		$240.71	$276.18	$305.61
HMSA Facility/Professional Professional Modifier Low / Median / High Price $326.68 / $367.04 / $433.11	Professional		$326.68	$367.04	$433.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $243.03 / $265.13 / $309.32	Professional		$243.03	$265.13	$309.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $2,446.00 / $2,446.00	Facility		$2,446.00	$2,446.00	$2,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $276.18 / $306.87 / $372.60	Professional		$276.18	$306.87	$372.60
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $284.95 / $433.99	Professional		$29.27	$284.95	$433.99