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 $750.94 / $752.93 / $752.93	Professional		$750.94	$752.93	$752.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $737.58 / $922.93 / $922.93	Professional		$737.58	$922.93	$922.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,063.28 / $1,194.63 / $1,409.66	Professional		$1,063.28	$1,194.63	$1,409.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.17 / $886.01 / $1,033.68	Professional		$812.17	$886.01	$1,033.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $753.11 / $922.93 / $1,191.74	Professional		$753.11	$922.93	$1,191.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $659.01 / $1,197.07	Professional		$29.27	$659.01	$1,197.07