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 $100.00 / $125.89 / $165.96	Professional		$100.00	$125.89	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $154.88	Professional		$97.72	$123.03	$154.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $186.21 / $213.80	Professional		$158.49	$186.21	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $165.96	Professional		$91.20	$131.83	$165.96
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 $125.89 / $151.36 / $181.97	Professional		$125.89	$151.36	$181.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $169.82	Professional		$85.11	$114.82	$169.82