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 $100.00 / $165.96 / $229.09	Professional		$100.00	$165.96	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $234.42	Professional		$117.49	$165.96	$234.42
HMSA Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $2,137.96	Professional		$162.18	$199.53	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $177.83 / $223.87	Professional		$97.72	$177.83	$223.87
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 $83.18 / $158.49 / $269.15	Professional		$83.18	$158.49	$269.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $131.83 / $229.09	Professional		$72.44	$131.83	$229.09