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 $83.18 / $208.93 / $501.19	Professional		$83.18	$208.93	$501.19
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 $104.71 / $316.23 / $645.65	Professional		$104.71	$316.23	$645.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $954.99	Professional		$144.54	$177.83	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $316.23 / $446.68	Professional		$83.18	$316.23	$446.68
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 $100.00 / $257.04 / $436.52	Professional		$100.00	$257.04	$436.52
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $1,412.54 / $3,981.07	Professional		$117.49	$1,412.54	$3,981.07