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 $154.88 / $223.87 / $338.84	Professional		$154.88	$223.87	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $363.08	Professional		$194.98	$269.15	$363.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $2,137.96	Professional		$269.15	$331.13	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $295.12 / $363.08	Professional		$169.82	$295.12	$363.08
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 $134.90 / $263.03 / $363.08	Professional		$134.90	$263.03	$363.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $229.09 / $363.08	Professional		$45.71	$229.09	$363.08