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 $594.54 / $660.88 / $819.81	Professional		$594.54	$660.88	$819.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $681.07 / $849.36 / $1,712.25	Professional		$681.07	$849.36	$1,712.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $905.79 / $1,017.69 / $1,170.33	Professional		$905.79	$1,017.69	$1,170.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $720.26 / $815.39 / $951.29	Professional		$720.26	$815.39	$951.29
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 $657.21 / $872.14 / $1,508.33	Professional		$657.21	$872.14	$1,508.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $672.43 / $1,075.02	Professional		$29.27	$672.43	$1,075.02