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 $613.57 / $659.99 / $816.35	Professional		$613.57	$659.99	$816.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.31 / $868.15 / $1,671.88	Professional		$679.31	$868.15	$1,671.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $898.98 / $1,010.03 / $1,161.53	Professional		$898.98	$1,010.03	$1,161.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $736.19 / $833.42 / $972.33	Professional		$736.19	$833.42	$972.33
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 $647.34 / $868.15 / $1,205.76	Professional		$647.34	$868.15	$1,205.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $657.15 / $1,062.27	Professional		$29.27	$657.15	$1,062.27