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 $615.65 / $737.95 / $737.95	Professional		$615.65	$737.95	$737.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.02 / $977.06 / $997.63	Professional		$812.02	$977.06	$997.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,099.08 / $1,202.83 / $1,457.13	Professional		$1,099.08	$1,202.83	$1,457.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $859.82 / $937.98 / $1,094.31	Professional		$859.82	$937.98	$1,094.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $2,446.00 / $2,446.00	Facility		$2,446.00	$2,446.00	$2,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $797.28 / $994.82 / $1,275.72	Professional		$797.28	$994.82	$1,275.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $965.69 / $1,418.46	Professional		$29.27	$965.69	$1,418.46