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 $602.49 / $725.41 / $1,167.83	Professional		$602.49	$725.41	$1,167.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $795.33 / $948.59 / $982.25	Professional		$795.33	$948.59	$982.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,086.31 / $1,220.50 / $1,440.19	Professional		$1,086.31	$1,220.50	$1,440.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $834.76 / $910.64 / $1,062.42	Professional		$834.76	$910.64	$1,062.42
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 $774.05 / $972.43 / $1,244.36	Professional		$774.05	$972.43	$1,244.36
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $927.77 / $1,471.35	Professional		$29.27	$927.77	$1,471.35