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 $43.65 / $134.90 / $245.47	Professional		$43.65	$134.90	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $208.93 / $245.47	Professional		$51.29	$208.93	$245.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $89.13 / $316.23	Professional		$77.62	$89.13	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $199.53 / $251.19	Professional		$45.71	$199.53	$251.19
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 $63.10 / $199.53 / $281.84	Professional		$63.10	$199.53	$281.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $57.54 / $269.15	Professional		$29.51	$57.54	$269.15