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 $64.57 / $77.62 / $1,000.00	Professional		$64.57	$77.62	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $93.33	Professional		$75.86	$89.13	$93.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $109.65 / $134.90	Professional		$102.33	$109.65	$134.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $75.86 / $95.50	Professional		$69.18	$75.86	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $120.23	Professional		$74.13	$95.50	$120.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $66.07 / $141.25	Professional		$12.59	$66.07	$141.25