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 $764.09 / $764.09 / $764.09	Professional		$764.09	$764.09	$764.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $709.84 / $925.28 / $1,110.33	Professional		$709.84	$925.28	$1,110.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,003.33 / $1,098.03 / $1,296.35	Professional		$1,003.33	$1,098.03	$1,296.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $814.24 / $888.26 / $1,036.31	Professional		$814.24	$888.26	$1,036.31
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 $755.02 / $925.28 / $1,148.66	Professional		$755.02	$925.28	$1,148.66
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $876.42 / $1,507.30	Professional		$29.27	$876.42	$1,507.30