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 $486.30 / $525.85 / $666.07	Professional		$486.30	$525.85	$666.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.80 / $701.19 / $1,381.48	Professional		$565.80	$701.19	$1,381.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $743.65 / $835.51 / $960.84	Professional		$743.65	$835.51	$960.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $617.04 / $673.14 / $785.33	Professional		$617.04	$673.14	$785.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $504.37 / $701.19 / $939.76	Professional		$504.37	$701.19	$939.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $594.85 / $929.36	Professional		$29.27	$594.85	$929.36