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 $577.04 / $651.26 / $651.26	Professional		$577.04	$651.26	$651.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.49 / $834.61 / $834.61	Professional		$628.49	$834.61	$834.61
HMSA Facility/Professional Professional Modifier Low / Median / High Price $877.96 / $986.41 / $1,163.96	Professional		$877.96	$986.41	$1,163.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $734.46 / $801.23 / $934.77	Professional		$734.46	$801.23	$934.77
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 $681.04 / $834.61 / $1,061.55	Professional		$681.04	$834.61	$1,061.55
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $599.96 / $1,036.29	Professional		$29.27	$599.96	$1,036.29