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 $58.88 / $102.33 / $208.93	Professional		$58.88	$102.33	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $158.49	Professional		$128.82	$128.82	$158.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $2,454.71	Professional		$120.23	$165.96	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $141.25 / $165.96	Professional		$64.57	$141.25	$165.96
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 $75.86 / $128.82 / $204.17	Professional		$75.86	$128.82	$204.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $114.82 / $3,548.13	Professional		$29.51	$114.82	$3,548.13