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 $37.15 / $83.18 / $154.88	Professional		$37.15	$83.18	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $114.82 / $125.89	Professional		$42.66	$114.82	$125.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $2,454.71	Professional		$69.18	$89.13	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $104.71 / $128.82	Professional		$38.90	$104.71	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $104.71 / $147.91	Professional		$53.70	$104.71	$147.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $2,454.71 / $4,265.80	Professional		$43.65	$2,454.71	$4,265.80