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 $568.35 / $568.35 / $568.35	Professional		$568.35	$568.35	$568.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.67 / $515.67 / $764.66	Professional		$515.67	$515.67	$764.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $846.53 / $926.43 / $1,145.31	Professional		$846.53	$926.43	$1,145.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $453.79 / $495.05 / $577.55	Professional		$453.79	$495.05	$577.55
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 $420.79 / $745.11 / $963.78	Professional		$420.79	$745.11	$963.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $404.75 / $604.75	Professional		$76.19	$404.75	$604.75