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 $210.20 / $210.20 / $210.20	Professional		$210.20	$210.20	$210.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.46 / $236.30 / $283.56	Professional		$186.46	$236.30	$283.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $261.77 / $286.48 / $338.23	Professional		$261.77	$286.48	$338.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.94 / $226.85 / $264.66	Professional		$207.94	$226.85	$264.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.82 / $236.30 / $312.62	Professional		$192.82	$236.30	$312.62
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $225.74 / $261.70	Professional		$29.27	$225.74	$261.70