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 $534.22 / $534.22 / $808.92	Professional		$534.22	$534.22	$808.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.18 / $666.18 / $684.19	Professional		$666.18	$666.18	$684.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $817.39 / $943.15 / $1,068.34	Professional		$817.39	$943.15	$1,068.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $586.23 / $639.53 / $746.12	Professional		$586.23	$639.53	$746.12
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 $543.60 / $701.26 / $905.27	Professional		$543.60	$701.26	$905.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $495.03 / $739.64	Professional		$29.27	$495.03	$739.64