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 $257.33 / $355.71 / $521.29	Professional		$257.33	$355.71	$521.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.32 / $425.63 / $1,083.32	Professional		$284.32	$425.63	$1,083.32
HMSA Facility/Professional Professional Modifier Low / Median / High Price $450.46 / $529.80 / $614.79	Professional		$450.46	$529.80	$614.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.38 / $513.22 / $670.00	Professional		$354.38	$513.22	$670.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $372.17 / $615.35 / $780.48	Professional		$372.17	$615.35	$780.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $85.19 / $380.78 / $676.19	Professional		$85.19	$380.78	$676.19