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 $184.64 / $184.64 / $254.62	Professional		$184.64	$184.64	$254.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.46 / $210.46 / $226.65	Professional		$210.46	$210.46	$226.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $340.70 / $372.85 / $460.94	Professional		$340.70	$372.85	$460.94
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