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 $580.41 / $580.41 / $704.55	Professional		$580.41	$580.41	$704.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $675.84 / $888.91 / $1,066.70	Professional		$675.84	$888.91	$1,066.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $758.03 / $873.12 / $1,067.11	Professional		$758.03	$873.12	$1,067.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $535.32 / $753.80 / $888.91	Professional		$535.32	$753.80	$888.91
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 $714.66 / $888.91 / $1,152.77	Professional		$714.66	$888.91	$1,152.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $116.68 / $619.85 / $926.12	Professional		$116.68	$619.85	$926.12