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 / $123.03 / $251.19	Professional		$57.54	$123.03	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $144.54 / $302.00	Professional		$70.79	$144.54	$302.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $229.09	Professional		$100.00	$117.49	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $158.49 / $199.53	Professional		$56.23	$158.49	$199.53
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 $60.26 / $109.65 / $204.17	Professional		$60.26	$109.65	$204.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $81.28 / $309.03	Professional		$29.51	$81.28	$309.03