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 $36.31 / $41.69 / $57.54	Professional		$36.31	$41.69	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $177.83	Professional		$39.81	$56.23	$177.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $69.18 / $81.28	Professional		$61.66	$69.18	$81.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $51.29	Professional		$33.88	$40.74	$51.29
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 $38.02 / $50.12 / $79.43	Professional		$38.02	$50.12	$79.43
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $44.67 / $79.43	Professional		$6.31	$44.67	$79.43