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 / $213.80 / $389.05	Professional		$97.72	$213.80	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $269.15 / $371.54	Professional		$107.15	$269.15	$371.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $457.09	Professional		$173.78	$213.80	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $338.84 / $416.87	Professional		$107.15	$338.84	$416.87
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 $134.90 / $302.00 / $446.68	Professional		$134.90	$302.00	$446.68
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $218.78 / $436.52	Professional		$53.70	$218.78	$436.52