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 $338.84 / $389.05 / $562.34	Professional		$338.84	$389.05	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $426.58 / $575.44	Professional		$407.38	$426.58	$575.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $588.84 / $707.95	Professional		$537.03	$588.84	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $645.65	Professional		$416.87	$512.86	$645.65
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 $302.00 / $426.58 / $588.84	Professional		$302.00	$426.58	$588.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $416.87 / $549.54	Professional		$69.18	$416.87	$549.54