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 $34.67 / $194.98 / $363.08	Professional		$34.67	$194.98	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $239.88 / $562.34	Professional		$44.67	$239.88	$562.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $436.52	Professional		$58.88	$70.79	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $302.00 / $426.58	Professional		$36.31	$302.00	$426.58
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 $38.02 / $199.53 / $363.08	Professional		$38.02	$199.53	$363.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $50.12 / $331.13	Professional		$41.69	$50.12	$331.13