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 $226.85 / $226.85 / $226.85	Professional		$226.85	$226.85	$226.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.81 / $266.81 / $279.93	Professional		$266.81	$266.81	$279.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $390.96 / $427.85 / $528.94	Professional		$390.96	$427.85	$528.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.80 / $256.14 / $298.83	Professional		$234.80	$256.14	$298.83
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 $217.72 / $278.70 / $359.78	Professional		$217.72	$278.70	$359.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $198.50 / $296.58	Professional		$29.27	$198.50	$296.58