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 $20.89 / $56.23 / $436.52	Professional		$20.89	$56.23	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $66.07	Professional		$53.70	$53.70	$66.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $36.31 / $54.95	Professional		$31.62	$36.31	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $58.88 / $69.18	Professional		$20.89	$58.88	$69.18
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 $27.54 / $53.70 / $89.13	Professional		$27.54	$53.70	$89.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $25.70 / $64.57	Professional		$9.33	$25.70	$64.57