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 $539.97 / $650.94 / $1,053.66	Professional		$539.97	$650.94	$1,053.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $712.08 / $853.79 / $878.24	Professional		$712.08	$853.79	$878.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $969.57 / $1,089.33 / $1,285.42	Professional		$969.57	$1,089.33	$1,285.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $751.33 / $819.64 / $956.24	Professional		$751.33	$819.64	$956.24
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 $696.69 / $869.84 / $1,115.46	Professional		$696.69	$869.84	$1,115.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $837.06 / $1,327.34	Professional		$29.27	$837.06	$1,327.34