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 $138.04 / $162.18 / $239.88	Professional		$138.04	$162.18	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $181.97 / $239.88	Professional		$169.82	$181.97	$239.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $269.15 / $2,511.89	Professional		$239.88	$269.15	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $263.03	Professional		$169.82	$208.93	$263.03
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 $123.03 / $181.97 / $234.42	Professional		$123.03	$181.97	$234.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $165.96 / $234.42	Professional		$29.51	$165.96	$234.42