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 $79.43 / $147.91 / $251.19	Professional		$79.43	$147.91	$251.19
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 $95.50 / $190.55 / $426.58	Professional		$95.50	$190.55	$426.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $316.23	Professional		$134.90	$162.18	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $181.97 / $257.04	Professional		$77.62	$181.97	$257.04
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 $85.11 / $162.18 / $281.84	Professional		$85.11	$162.18	$281.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $1,412.54 / $3,981.07	Professional		$109.65	$1,412.54	$3,981.07