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 $316.23 / $346.74 / $489.78	Professional		$316.23	$346.74	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $398.11 / $489.78	Professional		$346.74	$398.11	$489.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $549.54 / $5,011.87	Professional		$467.74	$549.54	$5,011.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $426.58 / $537.03	Professional		$380.19	$426.58	$537.03
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 $269.15 / $389.05 / $562.34	Professional		$269.15	$389.05	$562.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,548.82 / $3,981.07	Professional		$407.38	$1,548.82	$3,981.07