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 $205.51 / $223.67 / $278.63	Professional		$205.51	$223.67	$278.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.56 / $280.79 / $585.12	Professional		$238.56	$280.79	$585.12
HMSA Facility/Professional Professional Modifier Low / Median / High Price $297.33 / $334.06 / $384.17	Professional		$297.33	$334.06	$384.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.78 / $262.67 / $306.45	Professional		$240.78	$262.67	$306.45
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 $220.09 / $273.61 / $383.92	Professional		$220.09	$273.61	$383.92
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $272.51 / $387.50	Professional		$38.25	$272.51	$387.50