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 $398.11 / $489.78 / $724.44	Professional		$398.11	$489.78	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $602.56	Professional		$524.81	$524.81	$602.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $2,691.53	Professional		$630.96	$831.76	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $549.54 / $645.65	Professional		$501.19	$549.54	$645.65
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 $436.52 / $588.84 / $724.44	Professional		$436.52	$588.84	$724.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $467.74 / $676.08	Professional		$29.51	$467.74	$676.08