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 $491.55 / $491.55 / $491.55	Professional		$491.55	$491.55	$491.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.64 / $627.64 / $907.31	Professional		$627.64	$627.64	$907.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $909.86 / $995.74 / $1,230.98	Professional		$909.86	$995.74	$1,230.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $798.44 / $871.02 / $1,016.19	Professional		$798.44	$871.02	$1,016.19
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 $740.37 / $907.31 / $1,127.90	Professional		$740.37	$907.31	$1,127.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $698.24 / $975.69	Professional		$29.27	$698.24	$975.69