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 $117.31 / $213.21 / $388.70	Professional		$117.31	$213.21	$388.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.96 / $280.69 / $740.16	Professional		$130.96	$280.69	$740.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $208.74 / $248.33 / $361.88	Professional		$208.74	$248.33	$361.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.66 / $342.18 / $469.66	Professional		$213.66	$342.18	$469.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $247.67 / $405.91 / $508.58	Professional		$247.67	$405.91	$508.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $256.70 / $465.94	Professional		$58.70	$256.70	$465.94