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 $505.83 / $505.83 / $505.83	Professional		$505.83	$505.83	$505.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $556.75 / $556.75 / $639.97	Professional		$556.75	$556.75	$639.97
HMSA Facility/Professional Professional Modifier Low / Median / High Price $682.35 / $746.75 / $923.17	Professional		$682.35	$746.75	$923.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.94 / $534.48 / $623.55	Professional		$489.94	$534.48	$623.55
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 $454.31 / $559.33 / $729.50	Professional		$454.31	$559.33	$729.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $610.30 / $942.02	Professional		$29.27	$610.30	$942.02