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 $213.80 / $323.59 / $524.81	Professional		$213.80	$323.59	$524.81
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 $239.88 / $380.19 / $1,023.29	Professional		$239.88	$380.19	$1,023.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $616.60	Professional		$371.54	$436.52	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $436.52 / $602.56	Professional		$263.03	$436.52	$602.56
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 / $346.74 / $501.19	Professional		$223.87	$346.74	$501.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $338.84 / $2,691.53	Professional		$63.10	$338.84	$2,691.53