Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,818.38 / $2,884.03	Facility		$1,000.00	$2,818.38	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $218.78 / $331.13	Professional		$128.82	$218.78	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $239.88 / $295.12	Professional		$141.25	$239.88	$295.12
HMSA Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $2,454.71	Professional		$239.88	$302.00	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $302.00	Professional		$165.96	$239.88	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $323.59	Professional		$151.36	$239.88	$323.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $1,412.54 / $3,981.07	Professional		$204.17	$1,412.54	$3,981.07