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 $254.66 / $270.77 / $336.78	Professional		$254.66	$270.77	$336.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.91 / $323.91 / $355.68	Professional		$323.91	$323.91	$355.68
HMSA Facility/Professional Professional Modifier Low / Median / High Price $402.85 / $440.87 / $545.03	Professional		$402.85	$440.87	$545.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $285.04 / $310.95 / $362.78	Professional		$285.04	$310.95	$362.78
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 $264.31 / $339.92 / $438.56	Professional		$264.31	$339.92	$438.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $334.80 / $515.00	Professional		$29.27	$334.80	$515.00