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 $531.22 / $531.22 / $531.22	Professional		$531.22	$531.22	$531.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $582.40 / $582.40 / $649.48	Professional		$582.40	$582.40	$649.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $817.20 / $894.33 / $1,105.61	Professional		$817.20	$894.33	$1,105.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.51 / $559.10 / $652.29	Professional		$512.51	$559.10	$652.29
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 $475.24 / $612.13 / $789.05	Professional		$475.24	$612.13	$789.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $434.84 / $649.71	Professional		$81.84	$434.84	$649.71