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 $489.78 / $575.44 / $707.95	Professional		$489.78	$575.44	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $616.60 / $630.96	Professional		$489.78	$616.60	$630.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $7,943.28	Professional		$741.31	$954.99	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $549.54 / $691.83	Professional		$501.19	$549.54	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $630.96 / $794.33	Professional		$512.86	$630.96	$794.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,548.82 / $3,981.07	Professional		$602.56	$1,548.82	$3,981.07