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 $40.74 / $66.07 / $380.19	Professional		$40.74	$66.07	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $91.20	Professional		$74.13	$74.13	$91.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $85.11 / $2,630.27	Professional		$75.86	$85.11	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $81.28 / $95.50	Professional		$42.66	$81.28	$95.50
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 $53.70 / $75.86 / $114.82	Professional		$53.70	$75.86	$114.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $57.54 / $85.11	Professional		$29.51	$57.54	$85.11