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 $245.47 / $281.84 / $338.84	Professional		$245.47	$281.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $331.13 / $354.81	Professional		$275.42	$331.13	$354.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $5,495.41	Professional		$389.05	$501.19	$5,495.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $302.00 / $380.19	Professional		$281.84	$302.00	$380.19
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 $295.12 / $346.74 / $457.09	Professional		$295.12	$346.74	$457.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $263.03 / $478.63	Professional		$29.51	$263.03	$478.63