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 $761.40 / $761.40 / $761.40	Professional		$761.40	$761.40	$761.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $940.54 / $940.54 / $970.36	Professional		$940.54	$940.54	$970.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,072.02 / $1,173.21 / $1,450.38	Professional		$1,072.02	$1,173.21	$1,450.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $827.67 / $902.92 / $1,053.40	Professional		$827.67	$902.92	$1,053.40
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 $767.48 / $940.54 / $1,223.73	Professional		$767.48	$940.54	$1,223.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $964.31 / $1,393.41	Professional		$29.27	$964.31	$1,393.41