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 $200.94 / $200.94 / $200.94	Professional		$200.94	$200.94	$200.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.56 / $235.56 / $248.31	Professional		$235.56	$235.56	$248.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $320.23 / $350.46 / $433.25	Professional		$320.23	$350.46	$433.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.30 / $226.14 / $263.83	Professional		$207.30	$226.14	$263.83
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 $192.22 / $248.16 / $319.52	Professional		$192.22	$248.16	$319.52
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $176.55 / $263.77	Professional		$33.22	$176.55	$263.77