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 $861.41 / $861.41 / $861.41	Professional		$861.41	$861.41	$861.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $938.79 / $938.79 / $1,054.26	Professional		$938.79	$938.79	$1,054.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,211.15 / $1,325.47 / $1,638.61	Professional		$1,211.15	$1,325.47	$1,638.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $826.13 / $901.24 / $1,051.44	Professional		$826.13	$901.24	$1,051.44
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 $766.05 / $987.78 / $1,273.41	Professional		$766.05	$987.78	$1,273.41
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $131.97 / $701.11 / $1,047.53	Professional		$131.97	$701.11	$1,047.53