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 $384.63 / $384.63 / $384.63	Professional		$384.63	$384.63	$384.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.53 / $471.53 / $481.52	Professional		$471.53	$471.53	$481.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $569.10 / $622.82 / $769.96	Professional		$569.10	$622.82	$769.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $414.94 / $452.66 / $528.11	Professional		$414.94	$452.66	$528.11
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 $384.76 / $495.37 / $639.09	Professional		$384.76	$495.37	$639.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $488.74 / $748.43	Professional		$29.27	$488.74	$748.43