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 $117.49 / $125.89 / $151.36	Professional		$117.49	$125.89	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $141.25 / $144.54	Professional		$120.23	$141.25	$144.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $177.83 / $213.80	Professional		$162.18	$177.83	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $120.23 / $151.36	Professional		$112.20	$120.23	$151.36
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 $117.49 / $151.36 / $186.21	Professional		$117.49	$151.36	$186.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $123.03 / $213.80	Professional		$19.50	$123.03	$213.80