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 $914.06 / $914.06 / $914.06	Professional		$914.06	$914.06	$914.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $895.15 / $895.15 / $1,158.69	Professional		$895.15	$895.15	$1,158.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,137.03 / $1,308.24 / $13,672.00	Professional		$1,137.03	$1,308.24	$13,672.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $787.73 / $859.34 / $1,002.57	Professional		$787.73	$859.34	$1,002.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $730.44 / $1,025.80 / $1,368.96	Professional		$730.44	$1,025.80	$1,368.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $981.87 / $1,389.45	Professional		$29.27	$981.87	$1,389.45