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 $600.17 / $629.28 / $629.28	Professional		$600.17	$629.28	$629.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $576.51 / $729.41 / $729.41	Professional		$576.51	$729.41	$729.41
HMSA Facility/Professional Professional Modifier Low / Median / High Price $836.07 / $939.35 / $1,108.43	Professional		$836.07	$939.35	$1,108.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $641.88 / $700.24 / $816.94	Professional		$641.88	$700.24	$816.94
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 $595.20 / $729.41 / $934.97	Professional		$595.20	$729.41	$934.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $570.97 / $900.67	Professional		$29.27	$570.97	$900.67