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 $670.36 / $684.26 / $684.26	Professional		$670.36	$684.26	$684.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $644.08 / $808.56 / $808.56	Professional		$644.08	$808.56	$808.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $847.48 / $952.17 / $1,123.56	Professional		$847.48	$952.17	$1,123.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $711.54 / $776.22 / $905.59	Professional		$711.54	$776.22	$905.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $790.87 / $839.97 / $1,042.05	Professional		$790.87	$839.97	$1,042.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $577.44 / $869.56	Professional		$29.27	$577.44	$869.56