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 $91.20 / $151.36 / $478.63	Professional		$91.20	$151.36	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $186.21 / $467.74	Professional		$112.20	$186.21	$467.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $186.21 / $281.84	Professional		$154.88	$186.21	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $177.83 / $251.19	Professional		$95.50	$177.83	$251.19
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 $93.33 / $151.36 / $234.42	Professional		$93.33	$151.36	$234.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $125.89 / $213.80	Professional		$26.92	$125.89	$213.80