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 $128.82 / $213.80 / $676.08	Professional		$128.82	$213.80	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $323.59	Professional		$263.03	$263.03	$323.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $2,454.71	Professional		$269.15	$331.13	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $323.59	Professional		$165.96	$275.42	$323.59
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 $173.78 / $263.03 / $407.38	Professional		$173.78	$263.03	$407.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $2,041.74 / $3,981.07	Professional		$173.78	$2,041.74	$3,981.07