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 $169.82 / $213.80 / $630.96	Professional		$169.82	$213.80	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $338.84 / $1,584.89	Professional		$190.55	$338.84	$1,584.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $616.60 / $6,456.54	Professional		$537.03	$616.60	$6,456.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $616.60 / $794.33	Professional		$194.98	$616.60	$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 $169.82 / $257.04 / $691.83	Professional		$169.82	$257.04	$691.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $169.82 / $257.04	Professional		$31.62	$169.82	$257.04