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 $752.75 / $760.49 / $760.49	Professional		$752.75	$760.49	$760.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.90 / $955.33 / $955.33	Professional		$731.90	$955.33	$955.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,046.05 / $1,203.58 / $11,782.00	Professional		$1,046.05	$1,203.58	$11,782.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $840.69 / $917.11 / $1,069.96	Professional		$840.69	$917.11	$1,069.96
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 $779.55 / $955.33 / $1,215.11	Professional		$779.55	$955.33	$1,215.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $687.57 / $1,226.34	Professional		$29.27	$687.57	$1,226.34