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 $340.22 / $363.71 / $460.97	Professional		$340.22	$363.71	$460.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.67 / $458.36 / $956.00	Professional		$390.67	$458.36	$956.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $488.81 / $549.19 / $631.57	Professional		$488.81	$549.19	$631.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.32 / $427.98 / $499.31	Professional		$392.32	$427.98	$499.31
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 $358.39 / $454.27 / $623.39	Professional		$358.39	$454.27	$623.39
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $62.24 / $443.48 / $655.74	Professional		$62.24	$443.48	$655.74