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 $85.11 / $107.15 / $158.49	Professional		$85.11	$107.15	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $141.25	Professional		$114.82	$114.82	$141.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $165.96 / $204.17	Professional		$151.36	$165.96	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $173.78	Professional		$109.65	$138.04	$173.78
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 $97.72 / $141.25 / $186.21	Professional		$97.72	$141.25	$186.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $1,548.82 / $3,981.07	Professional		$112.20	$1,548.82	$3,981.07