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 $216.16 / $230.87 / $292.68	Professional		$216.16	$230.87	$292.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.89 / $288.95 / $608.47	Professional		$248.89	$288.95	$608.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $306.45 / $344.31 / $395.96	Professional		$306.45	$344.31	$395.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $248.80 / $271.42 / $316.64	Professional		$248.80	$271.42	$316.64
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 $225.99 / $282.73 / $479.37	Professional		$225.99	$282.73	$479.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $259.22 / $416.20	Professional		$29.27	$259.22	$416.20