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 $239.88 / $275.42 / $426.58	Professional		$239.88	$275.42	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $316.23 / $398.11	Professional		$281.84	$316.23	$398.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $446.68 / $2,570.40	Professional		$380.19	$446.68	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $363.08 / $467.74	Professional		$316.23	$363.08	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $426.58	Professional		$208.93	$302.00	$426.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $323.59 / $389.05	Professional		$48.98	$323.59	$389.05