Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,818.38 / $2,884.03	Facility		$1,000.00	$2,818.38	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $138.04 / $602.56	Professional		$66.07	$138.04	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $154.88 / $199.53	Professional		$89.13	$154.88	$199.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $2,137.96	Professional		$109.65	$134.90	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $181.97 / $229.09	Professional		$61.66	$181.97	$229.09
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 $52.48 / $120.23 / $229.09	Professional		$52.48	$120.23	$229.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $194.98 / $3,548.13	Professional		$54.95	$194.98	$3,548.13