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 $728.85 / $766.17 / $766.17	Professional		$728.85	$766.17	$766.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $703.92 / $856.20 / $880.90	Professional		$703.92	$856.20	$880.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,020.60 / $1,174.29 / $6,874.20	Professional		$1,020.60	$1,174.29	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $753.46 / $821.95 / $958.94	Professional		$753.46	$821.95	$958.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $698.66 / $871.52 / $1,130.36	Professional		$698.66	$871.52	$1,130.36
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $777.05 / $1,250.27	Professional		$29.27	$777.05	$1,250.27