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 $731.03 / $731.03 / $731.03	Professional		$731.03	$731.03	$731.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $725.67 / $977.71 / $1,173.26	Professional		$725.67	$977.71	$1,173.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $981.04 / $1,102.22 / $3,857.00	Professional		$981.04	$1,102.22	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $860.39 / $938.60 / $1,095.04	Professional		$860.39	$938.60	$1,095.04
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 $745.14 / $977.71 / $1,189.46	Professional		$745.14	$977.71	$1,189.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $857.99 / $1,172.10	Professional		$29.27	$857.99	$1,172.10