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 $476.81 / $476.81 / $476.81	Professional		$476.81	$476.81	$476.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.11 / $646.14 / $775.37	Professional		$502.11	$646.14	$775.37
HMSA Facility/Professional Professional Modifier Low / Median / High Price $685.69 / $750.41 / $885.95	Professional		$685.69	$750.41	$885.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $568.60 / $620.29 / $723.67	Professional		$568.60	$620.29	$723.67
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 $519.83 / $646.14 / $823.41	Professional		$519.83	$646.14	$823.41
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $468.57 / $705.61	Professional		$29.27	$468.57	$705.61