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 $74.13 / $107.15 / $275.42	Professional		$74.13	$107.15	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $162.18	Professional		$131.83	$131.83	$162.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $190.55	Professional		$134.90	$165.96	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $147.91 / $177.83	Professional		$79.43	$147.91	$177.83
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 $100.00 / $134.90 / $213.80	Professional		$100.00	$134.90	$213.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $95.50 / $154.88	Professional		$29.51	$95.50	$154.88