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 $384.33 / $476.41 / $476.41	Professional		$384.33	$476.41	$476.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.50 / $556.49 / $593.57	Professional		$478.50	$556.49	$593.57
HMSA Facility/Professional Professional Modifier Low / Median / High Price $670.69 / $753.54 / $889.18	Professional		$670.69	$753.54	$889.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.71 / $534.23 / $623.27	Professional		$489.71	$534.23	$623.27
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 $454.09 / $556.49 / $745.88	Professional		$454.09	$556.49	$745.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.61 / $407.39 / $618.71	Professional		$19.61	$407.39	$618.71