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 $97.72 / $107.15 / $158.49	Professional		$97.72	$107.15	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $407.38	Professional		$109.65	$138.04	$407.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $169.82 / $204.17	Professional		$151.36	$169.82	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $138.04	Professional		$91.20	$109.65	$138.04
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 $100.00 / $134.90 / $181.97	Professional		$100.00	$134.90	$181.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $1,548.82 / $3,981.07	Professional		$141.25	$1,548.82	$3,981.07