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 $194.98 / $269.15 / $3,715.35	Professional		$194.98	$269.15	$3,715.35
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 $323.59 / $407.38 / $407.38	Professional		$323.59	$407.38	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $245.47 / $288.40	Professional		$199.53	$245.47	$288.40
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 $177.83 / $269.15 / $346.74	Professional		$177.83	$269.15	$346.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $186.21 / $263.03	Professional		$29.51	$186.21	$263.03