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 $567.66 / $613.11 / $755.00	Professional		$567.66	$613.11	$755.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $631.83 / $804.46 / $1,440.72	Professional		$631.83	$804.46	$1,440.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $842.84 / $946.96 / $1,089.00	Professional		$842.84	$946.96	$1,089.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $682.18 / $772.28 / $901.00	Professional		$682.18	$772.28	$901.00
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 $579.17 / $804.46 / $1,057.29	Professional		$579.17	$804.46	$1,057.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $666.61 / $1,057.85	Professional		$29.27	$666.61	$1,057.85