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 $123.03 / $194.98 / $302.00	Professional		$123.03	$194.98	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $323.59	Professional		$138.04	$186.21	$323.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $416.87	Professional		$263.03	$323.59	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $331.13	Professional		$165.96	$263.03	$331.13
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 $158.49 / $213.80 / $331.13	Professional		$158.49	$213.80	$331.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $208.93 / $363.08	Professional		$45.71	$208.93	$363.08