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 $475.71 / $475.71 / $648.65	Professional		$475.71	$475.71	$648.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.24 / $537.24 / $584.76	Professional		$537.24	$537.24	$584.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $651.29 / $712.76 / $881.15	Professional		$651.29	$712.76	$881.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $472.77 / $515.75 / $601.71	Professional		$472.77	$515.75	$601.71
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 $438.39 / $563.82 / $726.68	Professional		$438.39	$563.82	$726.68
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.54 / $401.29 / $599.58	Professional		$75.54	$401.29	$599.58