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 $910.37 / $910.37 / $910.37	Professional		$910.37	$910.37	$910.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,027.70 / $1,027.70 / $1,177.05	Professional		$1,027.70	$1,027.70	$1,177.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,243.81 / $1,361.21 / $1,682.81	Professional		$1,243.81	$1,361.21	$1,682.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $904.38 / $986.59 / $1,151.02	Professional		$904.38	$986.59	$1,151.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $838.60 / $1,055.00 / $1,366.28	Professional		$838.60	$1,055.00	$1,366.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,051.18 / $1,714.01	Professional		$29.27	$1,051.18	$1,714.01