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 $275.42 / $389.05 / $549.54	Professional		$275.42	$389.05	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $1,230.27	Professional		$323.59	$489.78	$1,230.27
HMSA Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $758.58	Professional		$478.63	$562.34	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $660.69	Professional		$302.00	$467.74	$660.69
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 $295.12 / $446.68 / $660.69	Professional		$295.12	$446.68	$660.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $363.08 / $602.56	Professional		$75.86	$363.08	$602.56