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 $395.05 / $395.05 / $395.05	Professional		$395.05	$395.05	$395.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.75 / $492.75 / $499.68	Professional		$492.75	$492.75	$499.68
HMSA Facility/Professional Professional Modifier Low / Median / High Price $550.28 / $634.96 / $719.24	Professional		$550.28	$634.96	$719.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $433.62 / $473.04 / $551.88	Professional		$433.62	$473.04	$551.88
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 $402.08 / $518.34 / $667.64	Professional		$402.08	$518.34	$667.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.16 / $367.40 / $548.94	Professional		$69.16	$367.40	$548.94