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 $218.78 / $245.47 / $346.74	Professional		$218.78	$245.47	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $281.84 / $354.81	Professional		$251.19	$281.84	$354.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $389.05 / $2,570.40	Professional		$331.13	$389.05	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $323.59 / $407.38	Professional		$288.40	$323.59	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $389.05	Professional		$186.21	$269.15	$389.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $275.42 / $346.74	Professional		$42.66	$275.42	$346.74