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 $729.69 / $729.69 / $729.69	Professional		$729.69	$729.69	$729.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $792.69 / $792.69 / $937.62	Professional		$792.69	$792.69	$937.62
HMSA Facility/Professional Professional Modifier Low / Median / High Price $986.38 / $1,079.49 / $1,334.52	Professional		$986.38	$1,079.49	$1,334.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $697.57 / $760.98 / $887.81	Professional		$697.57	$760.98	$887.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $646.83 / $884.64 / $1,151.42	Professional		$646.83	$884.64	$1,151.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $860.25 / $1,269.89	Professional		$29.27	$860.25	$1,269.89