Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $2,884.03	Facility		$1,000.00	$2,884.03	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $338.84 / $467.74	Professional		$302.00	$338.84	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $371.54 / $457.09	Professional		$323.59	$371.54	$457.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $489.78 / $5,248.07	Professional		$436.52	$489.78	$5,248.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $338.84 / $426.58	Professional		$302.00	$338.84	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $389.05 / $524.81	Professional		$269.15	$389.05	$524.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $295.12 / $446.68	Professional		$29.51	$295.12	$446.68