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 $75.86 / $93.33 / $112.20	Professional		$75.86	$93.33	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $100.00 / $120.23	Professional		$85.11	$100.00	$120.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $158.49 / $177.83	Professional		$141.25	$158.49	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $83.18 / $104.71	Professional		$75.86	$83.18	$104.71
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 $81.28 / $107.15 / $134.90	Professional		$81.28	$107.15	$134.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $95.50 / $125.89	Professional		$13.49	$95.50	$125.89