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 $512.10 / $563.83 / $718.58	Professional		$512.10	$563.83	$718.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.83 / $759.06 / $1,496.05	Professional		$584.83	$759.06	$1,496.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $810.02 / $910.08 / $1,046.58	Professional		$810.02	$910.08	$1,046.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $667.98 / $728.70 / $850.15	Professional		$667.98	$728.70	$850.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $543.12 / $759.06 / $1,014.68	Professional		$543.12	$759.06	$1,014.68
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $553.54 / $858.36	Professional		$29.27	$553.54	$858.36