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 / $371.54 / $501.19	Professional		$316.23	$371.54	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $416.87 / $524.81	Professional		$371.54	$416.87	$524.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $575.44 / $2,630.27	Professional		$501.19	$575.44	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $467.74 / $588.84	Professional		$416.87	$467.74	$588.84
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 $263.03 / $398.11 / $575.44	Professional		$263.03	$398.11	$575.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $338.84 / $501.19	Professional		$29.51	$338.84	$501.19