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 $755.76 / $755.76 / $755.76	Professional		$755.76	$755.76	$755.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $693.32 / $896.79 / $1,076.15	Professional		$693.32	$896.79	$1,076.15
HMSA Facility/Professional Professional Modifier Low / Median / High Price $981.38 / $1,074.01 / $1,268.00	Professional		$981.38	$1,074.01	$1,268.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $789.17 / $860.92 / $1,004.40	Professional		$789.17	$860.92	$1,004.40
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 $731.78 / $896.79 / $1,131.00	Professional		$731.78	$896.79	$1,131.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $857.36 / $1,500.45	Professional		$29.27	$857.36	$1,500.45