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 $475.49 / $475.49 / $475.49	Professional		$475.49	$475.49	$475.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $559.48 / $559.48 / $586.72	Professional		$559.48	$559.48	$586.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $664.79 / $727.55 / $899.43	Professional		$664.79	$727.55	$899.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $492.34 / $537.10 / $626.61	Professional		$492.34	$537.10	$626.61
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 $456.53 / $588.11 / $758.21	Professional		$456.53	$588.11	$758.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $78.64 / $417.77 / $624.19	Professional		$78.64	$417.77	$624.19