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 $79.43 / $123.03 / $245.47	Professional		$79.43	$123.03	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $181.97	Professional		$151.36	$151.36	$181.97
HMSA Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $2,454.71	Professional		$151.36	$186.21	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $169.82 / $199.53	Professional		$91.20	$169.82	$199.53
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 $109.65 / $151.36 / $234.42	Professional		$109.65	$151.36	$234.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $114.82 / $173.78	Professional		$25.12	$114.82	$173.78