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 / $478.63 / $645.65	Professional		$144.54	$478.63	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $549.54 / $630.96	Professional		$154.88	$549.54	$630.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $794.33	Professional		$239.88	$302.00	$794.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $524.81 / $645.65	Professional		$134.90	$524.81	$645.65
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 $199.53 / $512.86 / $794.33	Professional		$199.53	$512.86	$794.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $177.83 / $724.44	Professional		$91.20	$177.83	$724.44