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 $89.13 / $190.55 / $281.84	Professional		$89.13	$190.55	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $251.19 / $524.81	Professional		$109.65	$251.19	$524.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $316.23	Professional		$151.36	$181.97	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $234.42 / $331.13	Professional		$89.13	$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 $97.72 / $199.53 / $338.84	Professional		$97.72	$199.53	$338.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $128.82 / $1,819.70	Professional		$38.90	$128.82	$1,819.70