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 $141.25 / $234.42 / $363.08	Professional		$141.25	$234.42	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $281.84 / $741.31	Professional		$158.49	$281.84	$741.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $295.12 / $457.09	Professional		$251.19	$295.12	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $275.42 / $389.05	Professional		$151.36	$275.42	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $380.19	Professional		$151.36	$245.47	$380.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $204.17 / $380.19	Professional		$47.86	$204.17	$380.19