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 $97.72 / $162.18 / $269.15	Professional		$97.72	$162.18	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $245.47	Professional		$107.15	$190.55	$245.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $229.09 / $2,454.71	Professional		$186.21	$229.09	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $204.17 / $257.04	Professional		$117.49	$204.17	$257.04
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 / $199.53 / $275.42	Professional		$123.03	$199.53	$275.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $151.36 / $269.15	Professional		$33.88	$151.36	$269.15