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 $52.48 / $134.90 / $186.21	Professional		$52.48	$134.90	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $128.82 / $199.53	Professional		$51.29	$128.82	$199.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $218.78	Professional		$81.28	$100.00	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $169.82 / $213.80	Professional		$47.86	$169.82	$213.80
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 $66.07 / $162.18 / $223.87	Professional		$66.07	$162.18	$223.87
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $66.07 / $229.09	Professional		$44.67	$66.07	$229.09