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 $681.80 / $681.80 / $681.80	Professional		$681.80	$681.80	$681.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $714.22 / $916.91 / $1,100.30	Professional		$714.22	$916.91	$1,100.30
HMSA Facility/Professional Professional Modifier Low / Median / High Price $965.98 / $1,057.16 / $1,248.10	Professional		$965.98	$1,057.16	$1,248.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $806.88 / $880.24 / $1,026.94	Professional		$806.88	$880.24	$1,026.94
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 $691.02 / $916.91 / $1,131.26	Professional		$691.02	$916.91	$1,131.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $742.95 / $1,161.50	Professional		$29.27	$742.95	$1,161.50