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 $512.86 / $602.56 / $741.31	Professional		$512.86	$602.56	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $630.96 / $660.69	Professional		$524.81	$630.96	$660.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $812.83 / $977.24	Professional		$741.31	$812.83	$977.24
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 $537.03 / $630.96 / $831.76	Professional		$537.03	$630.96	$831.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $467.74 / $831.76	Professional		$29.51	$467.74	$831.76