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 $41.69 / $52.48 / $371.54	Professional		$41.69	$52.48	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $60.26	Professional		$52.48	$52.48	$60.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $1,995.26 / $2,818.38	Professional		$70.79	$1,995.26	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $48.98 / $56.23	Professional		$44.67	$48.98	$56.23
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 $42.66 / $56.23 / $69.18	Professional		$42.66	$56.23	$69.18
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $54.95 / $63.10	Professional		$7.24	$54.95	$63.10