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 $120.23 / $177.83 / $263.03	Professional		$120.23	$177.83	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $602.56	Professional		$141.25	$218.78	$602.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $331.13	Professional		$204.17	$239.88	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $229.09 / $323.59	Professional		$131.83	$229.09	$323.59
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 $120.23 / $199.53 / $295.12	Professional		$120.23	$199.53	$295.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $169.82 / $288.40	Professional		$36.31	$169.82	$288.40