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 $852.09 / $852.09 / $852.09	Professional		$852.09	$852.09	$852.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $960.96 / $960.96 / $1,101.29	Professional		$960.96	$960.96	$1,101.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,139.73 / $1,247.31 / $1,541.99	Professional		$1,139.73	$1,247.31	$1,541.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $845.65 / $922.52 / $1,076.28	Professional		$845.65	$922.52	$1,076.28
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 $784.15 / $986.71 / $1,278.26	Professional		$784.15	$986.71	$1,278.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,057.97 / $1,613.71	Professional		$29.27	$1,057.97	$1,613.71