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 $123.03 / $194.98 / $380.19	Professional		$123.03	$194.98	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $302.00	Professional		$245.47	$245.47	$302.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $309.03 / $2,454.71	Professional		$245.47	$309.03	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $257.04 / $309.03	Professional		$154.88	$257.04	$309.03
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 $162.18 / $245.47 / $380.19	Professional		$162.18	$245.47	$380.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $186.21 / $302.00	Professional		$40.74	$186.21	$302.00