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 $557.59 / $603.41 / $741.84	Professional		$557.59	$603.41	$741.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $620.46 / $795.09 / $1,415.02	Professional		$620.46	$795.09	$1,415.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $830.98 / $933.63 / $1,124.26	Professional		$830.98	$933.63	$1,124.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $674.23 / $763.28 / $890.50	Professional		$674.23	$763.28	$890.50
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 $548.39 / $795.09 / $1,060.50	Professional		$548.39	$795.09	$1,060.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $677.80 / $1,074.66	Professional		$29.27	$677.80	$1,074.66