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 $664.38 / $745.14 / $925.35	Professional		$664.38	$745.14	$925.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $720.32 / $951.10 / $1,943.02	Professional		$720.32	$951.10	$1,943.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,019.69 / $1,145.66 / $1,317.51	Professional		$1,019.69	$1,145.66	$1,317.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $806.53 / $913.06 / $1,065.23	Professional		$806.53	$913.06	$1,065.23
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 $738.78 / $951.10 / $1,352.46	Professional		$738.78	$951.10	$1,352.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $696.82 / $1,049.33	Professional		$29.27	$696.82	$1,049.33