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 $57.54 / $131.83 / $218.78	Professional		$57.54	$131.83	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $169.82 / $208.93	Professional		$61.66	$169.82	$208.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $2,454.71	Professional		$112.20	$138.04	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $181.97 / $229.09	Professional		$61.66	$181.97	$229.09
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 $72.44 / $169.82 / $229.09	Professional		$72.44	$169.82	$229.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $213.80 / $3,548.13	Professional		$30.20	$213.80	$3,548.13