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 $114.82 / $194.98 / $275.42	Professional		$114.82	$194.98	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $239.88 / $630.96	Professional		$144.54	$239.88	$630.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $363.08	Professional		$204.17	$239.88	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $234.42 / $331.13	Professional		$128.82	$234.42	$331.13
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 $123.03 / $218.78 / $316.23	Professional		$123.03	$218.78	$316.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $165.96 / $323.59	Professional		$40.74	$165.96	$323.59