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 $426.40 / $426.40 / $426.40	Professional		$426.40	$426.40	$426.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.58 / $481.58 / $524.24	Professional		$481.58	$481.58	$524.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $583.83 / $638.94 / $789.89	Professional		$583.83	$638.94	$789.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $423.79 / $462.31 / $539.36	Professional		$423.79	$462.31	$539.36
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 $392.97 / $505.22 / $651.66	Professional		$392.97	$505.22	$651.66
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $67.59 / $359.07 / $536.49	Professional		$67.59	$359.07	$536.49