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 $32.36 / $60.26 / $208.93	Professional		$32.36	$60.26	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $128.82	Professional		$42.66	$57.54	$128.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $2,398.83	Professional		$60.26	$74.13	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $89.13 / $112.20	Professional		$29.51	$89.13	$112.20
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 $33.11 / $60.26 / $109.65	Professional		$33.11	$60.26	$109.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $66.07 / $117.49	Professional		$14.79	$66.07	$117.49