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 $780.94 / $780.94 / $1,212.26	Professional		$780.94	$780.94	$1,212.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $791.49 / $973.76 / $973.76	Professional		$791.49	$973.76	$973.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,041.81 / $1,170.51 / $1,381.20	Professional		$1,041.81	$1,170.51	$1,381.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $856.91 / $934.81 / $1,090.60	Professional		$856.91	$934.81	$1,090.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $2,446.00 / $2,446.00	Facility		$2,446.00	$2,446.00	$2,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $933.67 / $973.76 / $1,258.89	Professional		$933.67	$973.76	$1,258.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $711.94 / $1,276.55	Professional		$29.27	$711.94	$1,276.55