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 $51.29 / $91.20 / $151.36	Professional		$51.29	$91.20	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $114.82 / $275.42	Professional		$63.10	$114.82	$275.42
HMSA Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $177.83	Professional		$89.13	$104.71	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $102.33 / $144.54	Professional		$53.70	$102.33	$144.54
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 $54.95 / $97.72 / $154.88	Professional		$54.95	$97.72	$154.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $2,041.74 / $4,073.80	Professional		$64.57	$2,041.74	$4,073.80