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 $67.61 / $151.36 / $630.96	Professional		$67.61	$151.36	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $489.78 / $588.84	Professional		$77.62	$489.78	$588.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $776.25	Professional		$125.89	$154.88	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $398.11 / $501.19	Professional		$70.79	$398.11	$501.19
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 $95.50 / $398.11 / $741.31	Professional		$95.50	$398.11	$741.31
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $89.13 / $5,248.07	Professional		$12.88	$89.13	$5,248.07