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 $165.96 / $288.40 / $537.03	Professional		$165.96	$288.40	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $436.52	Professional		$371.54	$371.54	$436.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $338.84 / $2,454.71	Professional		$275.42	$338.84	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $363.08 / $467.74	Professional		$162.18	$363.08	$467.74
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 $190.55 / $371.54 / $562.34	Professional		$190.55	$371.54	$562.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $223.87 / $489.78	Professional		$60.26	$223.87	$489.78