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 $728.22 / $728.22 / $728.22	Professional		$728.22	$728.22	$728.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.02 / $675.28 / $810.33	Professional		$551.02	$675.28	$810.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $932.03 / $1,020.00 / $1,204.23	Professional		$932.03	$1,020.00	$1,204.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $594.24 / $648.26 / $756.31	Professional		$594.24	$648.26	$756.31
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 $551.02 / $675.28 / $1,042.50	Professional		$551.02	$675.28	$1,042.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $109.23 / $778.26 / $1,206.09	Professional		$109.23	$778.26	$1,206.09