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 $489.78 / $537.03 / $758.58	Professional		$489.78	$537.03	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $758.58	Professional		$537.03	$630.96	$758.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $794.33 / $954.99	Professional		$724.44	$794.33	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $630.96 / $794.33	Professional		$562.34	$630.96	$794.33
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 $416.87 / $616.60 / $870.96	Professional		$416.87	$616.60	$870.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,548.82 / $3,981.07	Professional		$660.69	$1,548.82	$3,981.07