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 $473.29 / $473.29 / $473.29	Professional		$473.29	$473.29	$473.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.55 / $374.55 / $621.69	Professional		$374.55	$374.55	$621.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $655.45 / $717.32 / $886.79	Professional		$655.45	$717.32	$886.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.60 / $359.57 / $419.50	Professional		$329.60	$359.57	$419.50
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 $305.63 / $415.10 / $533.49	Professional		$305.63	$415.10	$533.49
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $388.67 / $913.02	Professional		$29.27	$388.67	$913.02