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 $450.70 / $523.41 / $654.75	Professional		$450.70	$523.41	$654.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.31 / $695.19 / $1,367.21	Professional		$506.31	$695.19	$1,367.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $740.91 / $832.44 / $957.31	Professional		$740.91	$832.44	$957.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $611.77 / $667.38 / $778.61	Professional		$611.77	$667.38	$778.61
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 $495.69 / $695.19 / $921.62	Professional		$495.69	$695.19	$921.62
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $506.31 / $756.49	Professional		$29.27	$506.31	$756.49