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 $114.82 / $208.93 / $416.87	Professional		$114.82	$208.93	$416.87
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 $123.03 / $239.88 / $616.60	Professional		$123.03	$239.88	$616.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $346.74	Professional		$204.17	$239.88	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $302.00 / $416.87	Professional		$134.90	$302.00	$416.87
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 $117.49 / $204.17 / $331.13	Professional		$117.49	$204.17	$331.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $1,412.54 / $3,981.07	Professional		$165.96	$1,412.54	$3,981.07