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 $81.28 / $134.90 / $302.00	Professional		$81.28	$134.90	$302.00
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 $91.20 / $173.78 / $630.96	Professional		$91.20	$173.78	$630.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $302.00	Professional		$141.25	$169.82	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $309.03 / $436.52	Professional		$89.13	$309.03	$436.52
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 $89.13 / $141.25 / $316.23	Professional		$89.13	$141.25	$316.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $117.49 / $380.19	Professional		$47.86	$117.49	$380.19