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 $128.82 / $251.19 / $489.78	Professional		$128.82	$251.19	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $389.05	Professional		$338.84	$338.84	$389.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $269.15 / $2,454.71	Professional		$218.78	$269.15	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $323.59 / $426.58	Professional		$128.82	$323.59	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $331.13 / $501.19	Professional		$154.88	$331.13	$501.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $177.83 / $436.52	Professional		$54.95	$177.83	$436.52