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 $384.85 / $384.85 / $384.85	Professional		$384.85	$384.85	$384.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.56 / $447.46 / $536.96	Professional		$325.56	$447.46	$536.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $128.19 / $128.19 / $128.19	Professional		$128.19	$128.19	$128.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.77 / $429.56 / $501.16	Professional		$393.77	$429.56	$501.16
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $365.13 / $447.46 / $597.65	Professional		$365.13	$447.46	$597.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $272.08 / $330.38 / $388.68	Professional		$272.08	$330.38	$388.68