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 $79.43 / $181.97 / $363.08	Professional		$79.43	$181.97	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $199.53 / $446.68	Professional		$97.72	$199.53	$446.68
HMSA Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $302.00	Professional		$138.04	$162.18	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $194.98 / $245.47	Professional		$79.43	$194.98	$245.47
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 / $162.18 / $302.00	Professional		$81.28	$162.18	$302.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $181.97 / $446.68	Professional		$35.48	$181.97	$446.68