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 $193.92 / $211.71 / $305.33	Professional		$193.92	$211.71	$305.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.98 / $260.17 / $474.21	Professional		$219.98	$260.17	$474.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $300.16 / $337.24 / $387.83	Professional		$300.16	$337.24	$387.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $227.63 / $248.33 / $289.72	Professional		$227.63	$248.33	$289.72
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 $181.01 / $258.68 / $343.83	Professional		$181.01	$258.68	$343.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $222.25 / $357.52	Professional		$29.27	$222.25	$357.52