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 $107.15 / $158.49 / $239.88	Professional		$107.15	$158.49	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $234.42	Professional		$194.98	$194.98	$234.42
HMSA Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $2,454.71	Professional		$194.98	$257.04	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $234.42	Professional		$120.23	$199.53	$234.42
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 $134.90 / $194.98 / $295.12	Professional		$134.90	$194.98	$295.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $147.91 / $239.88	Professional		$31.62	$147.91	$239.88