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 $802.30 / $802.30 / $802.30	Professional		$802.30	$802.30	$802.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $937.83 / $937.83 / $1,053.97	Professional		$937.83	$937.83	$1,053.97
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,111.78 / $1,216.72 / $1,504.18	Professional		$1,111.78	$1,216.72	$1,504.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $825.29 / $900.31 / $1,050.35	Professional		$825.29	$900.31	$1,050.35
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 $765.27 / $991.08 / $1,277.57	Professional		$765.27	$991.08	$1,277.57
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $893.15 / $1,298.02	Professional		$29.27	$893.15	$1,298.02