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 $741.31 / $870.96 / $1,258.93	Professional		$741.31	$870.96	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,071.52	Professional		$870.96	$1,023.29	$1,071.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,258.93 / $1,513.56	Professional		$1,148.15	$1,258.93	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $933.25 / $1,174.90	Professional		$851.14	$933.25	$1,174.90
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 $870.96 / $1,023.29 / $1,380.38	Professional		$870.96	$1,023.29	$1,380.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,548.82 / $3,981.07	Professional		$776.25	$1,548.82	$3,981.07