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 $114.82 / $147.91 / $239.88	Professional		$114.82	$147.91	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $213.80	Professional		$173.78	$173.78	$213.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $251.19 / $302.00	Professional		$229.09	$251.19	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $239.88	Professional		$165.96	$204.17	$239.88
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 $144.54 / $213.80 / $281.84	Professional		$144.54	$213.80	$281.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $1,548.82 / $3,981.07	Professional		$165.96	$1,548.82	$3,981.07