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 $194.98 / $257.04 / $338.84	Professional		$194.98	$257.04	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $275.42 / $338.84	Professional		$245.47	$275.42	$338.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $416.87 / $2,454.71	Professional		$309.03	$416.87	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $323.59	Professional		$190.55	$257.04	$323.59
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 $223.87 / $275.42 / $338.84	Professional		$223.87	$275.42	$338.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $1,412.54 / $3,981.07	Professional		$251.19	$1,412.54	$3,981.07