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 $698.14 / $698.14 / $698.14	Professional		$698.14	$698.14	$698.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $730.91 / $939.00 / $1,126.80	Professional		$730.91	$939.00	$1,126.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $988.03 / $1,081.29 / $1,276.58	Professional		$988.03	$1,081.29	$1,276.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $826.32 / $901.44 / $1,051.68	Professional		$826.32	$901.44	$1,051.68
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 $721.77 / $939.00 / $1,158.96	Professional		$721.77	$939.00	$1,158.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $825.03 / $1,160.16	Professional		$29.27	$825.03	$1,160.16