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 $239.88 / $323.59 / $2,511.89	Professional		$239.88	$323.59	$2,511.89
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $147.91 / $147.91 / $147.91	Professional	AS	$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $338.84	Professional		$239.88	$281.84	$338.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $676.08 / $676.08	Professional		$549.54	$676.08	$676.08
HMSA Facility/Professional Professional Modifier AS Low / Median / High Price $91.20 / $102.33 / $117.49	Professional	AS	$91.20	$102.33	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $257.04 / $323.59	Professional		$229.09	$257.04	$323.59
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 $204.17 / $302.00 / $398.11	Professional		$204.17	$302.00	$398.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $223.87 / $331.13	Professional		$29.51	$223.87	$331.13