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 $151.36 / $162.18 / $194.98	Professional		$151.36	$162.18	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $186.21	Professional		$147.91	$181.97	$186.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $234.42 / $281.84	Professional		$213.80	$234.42	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $169.82 / $213.80	Professional		$154.88	$169.82	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $239.88	Professional		$154.88	$190.55	$239.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $1,548.82 / $3,981.07	Professional		$177.83	$1,548.82	$3,981.07