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 $120.23 / $223.87 / $467.74	Professional		$120.23	$223.87	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $288.40 / $501.19	Professional		$128.82	$288.40	$501.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $275.42 / $4,570.88	Professional		$218.78	$275.42	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $446.68 / $549.54	Professional		$128.82	$446.68	$549.54
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 $165.96 / $316.23 / $549.54	Professional		$165.96	$316.23	$549.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $181.97 / $537.03	Professional		$67.61	$181.97	$537.03