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 $158.49 / $2,290.87 / $4,365.16	Professional		$158.49	$2,290.87	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $3,311.31 / $3,548.13	Professional		$173.78	$3,311.31	$3,548.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $4,570.88	Professional		$288.40	$389.05	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $2,884.03 / $3,630.78	Professional		$162.18	$2,884.03	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $2,884.03 / $4,677.35	Professional		$229.09	$2,884.03	$4,677.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $2,238.72 / $4,265.80	Professional		$29.51	$2,238.72	$4,265.80