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 $125.89 / $144.54 / $208.93	Professional		$125.89	$144.54	$208.93
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 $138.04 / $239.88 / $549.54	Professional		$138.04	$239.88	$549.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $389.05 / $4,365.16	Professional		$331.13	$389.05	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $181.97	Professional		$123.03	$147.91	$181.97
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 $134.90 / $181.97 / $354.81	Professional		$134.90	$181.97	$354.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $1,548.82 / $3,981.07	Professional		$190.55	$1,548.82	$3,981.07