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 $144.54 / $204.17 / $302.00	Professional		$144.54	$204.17	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $741.31	Professional		$162.18	$251.19	$741.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $302.00 / $389.05	Professional		$263.03	$302.00	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $380.19	Professional		$186.21	$275.42	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $331.13	Professional		$144.54	$223.87	$331.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $257.04 / $6,025.60	Professional		$144.54	$257.04	$6,025.60