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 $575.44 / $602.56 / $724.44	Professional		$575.44	$602.56	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $676.08 / $691.83	Professional		$562.34	$676.08	$691.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $870.96 / $1,071.52	Professional		$794.33	$870.96	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $588.84 / $724.44	Professional		$537.03	$588.84	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $891.25	Professional		$549.54	$724.44	$891.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $616.60 / $1,000.00	Professional		$29.51	$616.60	$1,000.00