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 $200.59 / $200.59 / $200.59	Professional		$200.59	$200.59	$200.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.58 / $223.21 / $267.86	Professional		$174.58	$223.21	$267.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $250.16 / $273.77 / $323.23	Professional		$250.16	$273.77	$323.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.43 / $214.28 / $250.00	Professional		$196.43	$214.28	$250.00
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 $182.14 / $223.21 / $294.83	Professional		$182.14	$223.21	$294.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $216.71 / $246.46	Professional		$29.27	$216.71	$246.46