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 $95.50 / $173.78 / $724.44	Professional		$95.50	$173.78	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $218.78	Professional		$177.83	$177.83	$218.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $239.88 / $2,630.27	Professional		$194.98	$239.88	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $194.98 / $218.78	Professional		$100.00	$194.98	$218.78
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 $114.82 / $177.83 / $263.03	Professional		$114.82	$177.83	$263.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $2,041.74 / $4,073.80	Professional		$114.82	$2,041.74	$4,073.80