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 $102.33 / $162.18 / $288.40	Professional		$102.33	$162.18	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $257.04	Professional		$213.80	$213.80	$257.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $251.19 / $2,454.71	Professional		$204.17	$251.19	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $269.15	Professional		$131.83	$218.78	$269.15
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 $125.89 / $204.17 / $331.13	Professional		$125.89	$204.17	$331.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $154.88 / $263.03	Professional		$35.48	$154.88	$263.03