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 $63.10 / $107.15 / $239.88	Professional		$63.10	$107.15	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $131.83 / $234.42	Professional		$72.44	$131.83	$234.42
HMSA Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $2,398.83	Professional		$120.23	$154.88	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $141.25 / $177.83	Professional		$67.61	$141.25	$177.83
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 $87.10 / $141.25 / $194.98	Professional		$87.10	$141.25	$194.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $128.82 / $6,165.95	Professional		$29.51	$128.82	$6,165.95