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 $191.58 / $191.58 / $191.58	Professional		$191.58	$191.58	$191.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.46 / $210.46 / $233.99	Professional		$210.46	$210.46	$233.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $350.07 / $383.12 / $473.63	Professional		$350.07	$383.12	$473.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.21 / $202.04 / $235.72	Professional		$185.21	$202.04	$235.72
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 $171.74 / $220.16 / $284.33	Professional		$171.74	$220.16	$284.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $156.72 / $234.18	Professional		$29.50	$156.72	$234.18