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 $169.82 / $223.87 / $316.23	Professional		$169.82	$223.87	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $302.00	Professional		$165.96	$218.78	$302.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $2,454.71	Professional		$281.84	$346.74	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $263.03 / $331.13	Professional		$186.21	$263.03	$331.13
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 $204.17 / $269.15 / $338.84	Professional		$204.17	$269.15	$338.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $1,412.54 / $3,981.07	Professional		$204.17	$1,412.54	$3,981.07