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 $97.72 / $131.83 / $199.53	Professional		$97.72	$131.83	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $169.82	Professional		$144.54	$144.54	$169.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $2,454.71	Professional		$169.82	$208.93	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $154.88 / $181.97	Professional		$100.00	$154.88	$181.97
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 $112.20 / $144.54 / $213.80	Professional		$112.20	$144.54	$213.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $123.03 / $204.17	Professional		$29.51	$123.03	$204.17