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 $260.30 / $313.56 / $313.56	Professional		$260.30	$313.56	$313.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.45 / $401.64 / $427.88	Professional		$337.45	$401.64	$427.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $472.76 / $531.16 / $626.77	Professional		$472.76	$531.16	$626.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $353.44 / $385.57 / $449.83	Professional		$353.44	$385.57	$449.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $327.74 / $415.49 / $540.44	Professional		$327.74	$415.49	$540.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.14 / $340.14 / $537.80	Professional		$56.14	$340.14	$537.80