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 $418.31 / $468.52 / $593.28	Professional		$418.31	$468.52	$593.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.10 / $639.83 / $1,230.74	Professional		$476.10	$639.83	$1,230.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $677.65 / $761.36 / $875.56	Professional		$677.65	$761.36	$875.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $563.04 / $614.23 / $716.60	Professional		$563.04	$614.23	$716.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $467.06 / $639.83 / $838.15	Professional		$467.06	$639.83	$838.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $87.17 / $559.41 / $697.34	Professional		$87.17	$559.41	$697.34