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 $603.19 / $723.83 / $723.83	Professional		$603.19	$723.83	$723.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $795.35 / $961.23 / $976.66	Professional		$795.35	$961.23	$976.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,077.47 / $1,239.72 / $6,874.20	Professional		$1,077.47	$1,239.72	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $845.88 / $922.78 / $1,076.57	Professional		$845.88	$922.78	$1,076.57
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 $784.36 / $968.16 / $1,248.83	Professional		$784.36	$968.16	$1,248.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $945.21 / $1,276.67	Professional		$29.27	$945.21	$1,276.67