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 $785.26 / $785.26 / $785.26	Professional		$785.26	$785.26	$785.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $841.44 / $841.44 / $1,012.07	Professional		$841.44	$841.44	$1,012.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,095.28 / $1,260.20 / $7,637.00	Professional		$1,095.28	$1,260.20	$7,637.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $740.47 / $807.78 / $942.41	Professional		$740.47	$807.78	$942.41
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 $686.61 / $873.18 / $1,127.64	Professional		$686.61	$873.18	$1,127.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $929.63 / $1,403.65	Professional		$29.27	$929.63	$1,403.65