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 $726.92 / $726.92 / $726.92	Professional		$726.92	$726.92	$726.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $722.80 / $934.58 / $1,121.49	Professional		$722.80	$934.58	$1,121.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $974.14 / $1,066.08 / $1,258.65	Professional		$974.14	$1,066.08	$1,258.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $822.43 / $897.19 / $1,046.72	Professional		$822.43	$897.19	$1,046.72
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 $716.35 / $934.58 / $1,180.28	Professional		$716.35	$934.58	$1,180.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $793.26 / $1,164.00	Professional		$29.27	$793.26	$1,164.00