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 $822.98 / $822.98 / $850.04	Professional		$822.98	$822.98	$850.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.55 / $1,024.84 / $1,081.66	Professional		$870.55	$1,024.84	$1,081.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,182.50 / $1,360.57 / $6,874.20	Professional		$1,182.50	$1,360.57	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $901.87 / $983.86 / $1,147.83	Professional		$901.87	$983.86	$1,147.83
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 $836.28 / $1,037.56 / $1,355.40	Professional		$836.28	$1,037.56	$1,355.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,062.68 / $11,236.00	Professional		$29.27	$1,062.68	$11,236.00