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 $263.03 / $338.84 / $436.52	Professional		$263.03	$338.84	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $489.78	Professional		$309.03	$389.05	$489.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $562.34	Professional		$416.87	$512.86	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $501.19	Professional		$288.40	$389.05	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $562.34	Professional		$338.84	$446.68	$562.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $371.54 / $512.86	Professional		$64.57	$371.54	$512.86