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 $102.33 / $177.83 / $309.03	Professional		$102.33	$177.83	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $218.78 / $549.54	Professional		$112.20	$218.78	$549.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $302.00	Professional		$181.97	$218.78	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $245.47 / $346.74	Professional		$123.03	$245.47	$346.74
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 $104.71 / $177.83 / $281.84	Professional		$104.71	$177.83	$281.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $169.82 / $3,090.30	Professional		$34.67	$169.82	$3,090.30