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 $91.20 / $144.54 / $275.42	Professional		$91.20	$144.54	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $263.03	Professional		$213.80	$213.80	$263.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $2,454.71	Professional		$181.97	$239.88	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $234.42 / $295.12	Professional		$123.03	$234.42	$295.12
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 $128.82 / $213.80 / $309.03	Professional		$128.82	$213.80	$309.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $138.04 / $239.88	Professional		$34.67	$138.04	$239.88