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 $323.79 / $472.37 / $472.37	Professional		$323.79	$472.37	$472.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.72 / $508.65 / $508.65	Professional		$398.72	$508.65	$508.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $536.21 / $616.96 / $6,874.20	Professional		$536.21	$616.96	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $447.61 / $488.30 / $569.69	Professional		$447.61	$488.30	$569.69
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 $448.16 / $508.65 / $650.05	Professional		$448.16	$508.65	$650.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $444.77 / $561.63	Professional		$70.20	$444.77	$561.63