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 $72.44 / $114.82 / $208.93	Professional		$72.44	$114.82	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $208.93	Professional		$70.79	$109.65	$208.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $199.53	Professional		$117.49	$144.54	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $181.97 / $223.87	Professional		$69.18	$181.97	$223.87
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 $91.20 / $158.49 / $234.42	Professional		$91.20	$158.49	$234.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $100.00 / $234.42	Professional		$29.51	$100.00	$234.42