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 $44.67 / $87.10 / $151.36	Professional		$44.67	$87.10	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $123.03 / $134.90	Professional		$50.12	$123.03	$134.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $2,454.71	Professional		$79.43	$100.00	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $112.20 / $138.04	Professional		$44.67	$112.20	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $109.65 / $158.49	Professional		$60.26	$109.65	$158.49
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $102.33 / $154.88	Professional		$19.50	$102.33	$154.88