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 $633.37 / $633.37 / $633.37	Professional		$633.37	$633.37	$633.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.16 / $785.31 / $942.38	Professional		$611.16	$785.31	$942.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $835.11 / $913.94 / $1,079.01	Professional		$835.11	$913.94	$1,079.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.08 / $753.90 / $879.55	Professional		$691.08	$753.90	$879.55
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 $634.58 / $785.31 / $1,003.41	Professional		$634.58	$785.31	$1,003.41
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $609.41 / $859.38	Professional		$29.27	$609.41	$859.38