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 $462.30 / $462.30 / $462.30	Professional		$462.30	$462.30	$462.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.48 / $494.48 / $606.39	Professional		$494.48	$494.48	$606.39
HMSA Facility/Professional Professional Modifier Low / Median / High Price $608.19 / $665.60 / $822.85	Professional		$608.19	$665.60	$822.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $435.14 / $474.70 / $553.80	Professional		$435.14	$474.70	$553.80
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 $403.49 / $526.66 / $673.70	Professional		$403.49	$526.66	$673.70
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $513.78 / $557.32	Professional		$29.27	$513.78	$557.32