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 $112.20 / $177.83 / $229.09	Professional		$112.20	$177.83	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $204.17	Professional		$169.82	$199.53	$204.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $288.40 / $2,511.89	Professional		$223.87	$288.40	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $239.88	Professional		$138.04	$190.55	$239.88
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 $169.82 / $204.17 / $239.88	Professional		$169.82	$204.17	$239.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $1,412.54 / $3,981.07	Professional		$173.78	$1,412.54	$3,981.07