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 $91.20 / $112.20 / $323.59	Professional		$91.20	$112.20	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $114.82 / $346.74	Professional		$109.65	$114.82	$346.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $2,454.71	Professional		$134.90	$186.21	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $97.72 / $112.20	Professional		$89.13	$97.72	$112.20
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 $89.13 / $117.49 / $416.87	Professional		$89.13	$117.49	$416.87
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $1,412.54 / $3,981.07	Professional		$97.72	$1,412.54	$3,981.07