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 $162.18 / $229.09 / $323.59	Professional		$162.18	$229.09	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $239.88 / $269.15	Professional		$208.93	$239.88	$269.15
HMSA Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $2,137.96 / $2,818.38	Professional		$316.23	$2,137.96	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $245.47 / $302.00	Professional		$223.87	$245.47	$302.00
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 $218.78 / $245.47 / $338.84	Professional		$218.78	$245.47	$338.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $1,548.82 / $3,981.07	Professional		$295.12	$1,548.82	$3,981.07