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 $551.96 / $551.96 / $551.96	Professional		$551.96	$551.96	$551.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $693.73 / $693.73 / $750.43	Professional		$693.73	$693.73	$750.43
HMSA Facility/Professional Professional Modifier Low / Median / High Price $838.57 / $942.16 / $1,134.53	Professional		$838.57	$942.16	$1,134.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $610.48 / $665.98 / $776.97	Professional		$610.48	$665.98	$776.97
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 $566.08 / $750.09 / $970.32	Professional		$566.08	$750.09	$970.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $97.56 / $518.29 / $774.38	Professional		$97.56	$518.29	$774.38