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 $97.72 / $144.54 / $194.98	Professional		$97.72	$144.54	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $213.80	Professional		$114.82	$147.91	$213.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $229.09 / $2,454.71	Professional		$186.21	$229.09	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $223.87	Professional		$109.65	$177.83	$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 $141.25 / $181.97 / $251.19	Professional		$141.25	$181.97	$251.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $151.36 / $12,882.50	Professional		$29.51	$151.36	$12,882.50