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 $109.65 / $154.88 / $245.47	Professional		$109.65	$154.88	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $562.34	Professional		$123.03	$190.55	$562.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $295.12	Professional		$190.55	$223.87	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $239.88	Professional		$120.23	$173.78	$239.88
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 $109.65 / $173.78 / $251.19	Professional		$109.65	$173.78	$251.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $154.88 / $245.47	Professional		$29.51	$154.88	$245.47