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 $557.69 / $596.94 / $789.05	Professional		$557.69	$596.94	$789.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.98 / $835.83 / $1,642.84	Professional		$578.98	$835.83	$1,642.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $890.22 / $1,000.19 / $1,204.42	Professional		$890.22	$1,000.19	$1,204.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $708.78 / $802.39 / $936.12	Professional		$708.78	$802.39	$936.12
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 $596.13 / $835.83 / $1,110.02	Professional		$596.13	$835.83	$1,110.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $616.34 / $916.10	Professional		$29.27	$616.34	$916.10