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 $410.74 / $410.74 / $480.69	Professional		$410.74	$410.74	$480.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.79 / $583.83 / $583.83	Professional		$472.79	$583.83	$583.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $610.74 / $686.19 / $809.70	Professional		$610.74	$686.19	$809.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $513.77 / $560.47 / $653.88	Professional		$513.77	$560.47	$653.88
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 $476.40 / $583.83 / $725.99	Professional		$476.40	$583.83	$725.99
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $415.85 / $623.97	Professional		$29.27	$415.85	$623.97