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 $547.54 / $618.04 / $618.04	Professional		$547.54	$618.04	$618.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $673.63 / $827.10 / $827.10	Professional		$673.63	$827.10	$827.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $890.73 / $1,000.76 / $1,180.90	Professional		$890.73	$1,000.76	$1,180.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $727.85 / $794.02 / $926.35	Professional		$727.85	$794.02	$926.35
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 $674.91 / $827.10 / $1,070.33	Professional		$674.91	$827.10	$1,070.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $840.29 / $1,102.56	Professional		$29.27	$840.29	$1,102.56