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 $81.28 / $100.00 / $173.78	Professional		$81.28	$100.00	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $186.21	Professional		$89.13	$114.82	$186.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $2,344.23	Professional		$128.82	$158.49	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $144.54	Professional		$81.28	$117.49	$144.54
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 $79.43 / $120.23 / $144.54	Professional		$79.43	$120.23	$144.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $95.50 / $147.91	Professional		$29.51	$95.50	$147.91