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 $95.50 / $186.21 / $354.81	Professional		$95.50	$186.21	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $281.84 / $398.11	Professional		$109.65	$281.84	$398.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $194.98 / $426.58	Professional		$173.78	$194.98	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $309.03 / $389.05	Professional		$102.33	$309.03	$389.05
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 $89.13 / $223.87 / $363.08	Professional		$89.13	$223.87	$363.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $138.04 / $389.05	Professional		$72.44	$138.04	$389.05