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 $134.90 / $151.36 / $213.80	Professional		$134.90	$151.36	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $173.78 / $218.78	Professional		$154.88	$173.78	$218.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $223.87 / $275.42	Professional		$204.17	$223.87	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $223.87 / $269.15	Professional		$194.98	$223.87	$269.15
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 $112.20 / $169.82 / $239.88	Professional		$112.20	$169.82	$239.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $169.82 / $213.80	Professional		$29.51	$169.82	$213.80