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 $784.93 / $784.93 / $784.93	Professional		$784.93	$784.93	$784.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $952.76 / $952.76 / $1,007.06	Professional		$952.76	$952.76	$1,007.06
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,090.13 / $1,193.03 / $1,474.88	Professional		$1,090.13	$1,193.03	$1,474.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $838.43 / $914.65 / $1,067.08	Professional		$838.43	$914.65	$1,067.08
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 $777.45 / $960.48 / $1,254.30	Professional		$777.45	$960.48	$1,254.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $698.50 / $1,043.64	Professional		$29.27	$698.50	$1,043.64