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 $266.81 / $266.81 / $404.32	Professional		$266.81	$266.81	$404.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.04 / $328.04 / $333.10	Professional		$328.04	$328.04	$333.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $398.37 / $435.97 / $538.97	Professional		$398.37	$435.97	$538.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $293.13 / $319.77 / $373.07	Professional		$293.13	$319.77	$373.07
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 $271.81 / $340.80 / $435.77	Professional		$271.81	$340.80	$435.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $248.18 / $373.73	Professional		$29.27	$248.18	$373.73