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 $41.69 / $134.90 / $588.84	Professional		$41.69	$134.90	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $162.18	Professional		$134.90	$134.90	$162.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $2,454.71	Professional		$79.43	$97.72	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $144.54 / $173.78	Professional		$44.67	$144.54	$173.78
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 $58.88 / $134.90 / $213.80	Professional		$58.88	$134.90	$213.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $48.98 / $162.18	Professional		$22.91	$48.98	$162.18