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 / $131.83 / $354.81	Professional		$74.13	$131.83	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $177.83	Professional		$144.54	$144.54	$177.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $154.88 / $2,630.27	Professional		$138.04	$154.88	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $154.88 / $186.21	Professional		$91.20	$154.88	$186.21
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 $91.20 / $141.25 / $218.78	Professional		$91.20	$141.25	$218.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $104.71 / $165.96	Professional		$23.99	$104.71	$165.96