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 $668.84 / $668.84 / $668.84	Professional		$668.84	$668.84	$668.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.96 / $839.96 / $909.48	Professional		$839.96	$839.96	$909.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $997.69 / $1,091.85 / $1,349.81	Professional		$997.69	$1,091.85	$1,349.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $739.17 / $806.36 / $940.76	Professional		$739.17	$806.36	$940.76
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 $685.41 / $884.96 / $1,140.35	Professional		$685.41	$884.96	$1,140.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $118.23 / $628.11 / $938.47	Professional		$118.23	$628.11	$938.47