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 $251.19 / $407.38 / $691.83	Professional		$251.19	$407.38	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $562.34	Professional		$489.78	$489.78	$562.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $4,677.35	Professional		$416.87	$524.81	$4,677.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $467.74 / $616.60	Professional		$239.88	$467.74	$616.60
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 $281.84 / $512.86 / $724.44	Professional		$281.84	$512.86	$724.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $338.84 / $630.96	Professional		$77.62	$338.84	$630.96