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 $515.42 / $544.36 / $721.99	Professional		$515.42	$544.36	$721.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.69 / $752.19 / $1,507.39	Professional		$541.69	$752.19	$1,507.39
HMSA Facility/Professional Professional Modifier Low / Median / High Price $801.24 / $900.21 / $1,035.24	Professional		$801.24	$900.21	$1,035.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $661.93 / $722.10 / $842.45	Professional		$661.93	$722.10	$842.45
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 $568.76 / $752.19 / $1,015.56	Professional		$568.76	$752.19	$1,015.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $693.77 / $1,085.52	Professional		$29.27	$693.77	$1,085.52