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 $77.62 / $138.04 / $199.53	Professional		$77.62	$138.04	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $131.83 / $194.98	Professional		$81.28	$131.83	$194.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $2,454.71	Professional		$128.82	$177.83	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $165.96 / $208.93	Professional		$74.13	$165.96	$208.93
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 $100.00 / $158.49 / $218.78	Professional		$100.00	$158.49	$218.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $107.15 / $194.98	Professional		$29.51	$107.15	$194.98