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 $218.78 / $389.05 / $616.60	Professional		$218.78	$389.05	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $489.78 / $676.08	Professional		$251.19	$489.78	$676.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $2,137.96	Professional		$380.19	$467.74	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $588.84 / $741.31	Professional		$245.47	$588.84	$741.31
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 $199.53 / $398.11 / $630.96	Professional		$199.53	$398.11	$630.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $1,412.54 / $3,981.07	Professional		$302.00	$1,412.54	$3,981.07