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 $112.20 / $194.98 / $691.83	Professional		$112.20	$194.98	$691.83
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 $141.25 / $457.09 / $1,230.27	Professional		$141.25	$457.09	$1,230.27
HMSA Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $263.03 / $3,890.45	Professional		$234.42	$263.03	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $602.56 / $794.33	Professional		$117.49	$602.56	$794.33
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 $131.83 / $257.04 / $724.44	Professional		$131.83	$257.04	$724.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $1,513.56 / $3,981.07	Professional		$154.88	$1,513.56	$3,981.07