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 $173.78 / $190.55 / $239.88	Professional		$173.78	$190.55	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $223.87 / $257.04	Professional		$186.21	$223.87	$257.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $7,943.28	Professional		$281.84	$363.08	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $223.87 / $275.42	Professional		$204.17	$223.87	$275.42
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 $208.93 / $239.88 / $316.23	Professional		$208.93	$239.88	$316.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $1,548.82 / $3,981.07	Professional		$281.84	$1,548.82	$3,981.07