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 $663.21 / $663.21 / $766.58	Professional		$663.21	$663.21	$766.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.47 / $925.14 / $925.14	Professional		$758.47	$925.14	$925.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $971.81 / $1,091.85 / $1,288.39	Professional		$971.81	$1,091.85	$1,288.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $814.12 / $888.13 / $1,036.15	Professional		$814.12	$888.13	$1,036.15
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 $754.91 / $925.14 / $1,165.47	Professional		$754.91	$925.14	$1,165.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $677.26 / $1,000.05	Professional		$29.27	$677.26	$1,000.05