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 $501.19 / $549.54 / $758.58	Professional		$501.19	$549.54	$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 $741.31 / $851.14 / $2,630.27	Professional		$741.31	$851.14	$2,630.27
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 $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $870.96	Professional		$426.58	$602.56	$870.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $501.19 / $758.58	Professional		$29.51	$501.19	$758.58