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 $575.44 / $691.83 / $977.24	Professional		$575.44	$691.83	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $758.58 / $1,000.00	Professional		$707.95	$758.58	$1,000.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,047.13 / $1,258.93	Professional		$954.99	$1,047.13	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $1,071.52	Professional		$758.58	$870.96	$1,071.52
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 $501.19 / $776.25 / $1,071.52	Professional		$501.19	$776.25	$1,071.52
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,548.82 / $3,981.07	Professional		$724.44	$1,548.82	$3,981.07