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 $125.89 / $162.18 / $251.19	Professional		$125.89	$162.18	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $213.80	Professional		$181.97	$181.97	$213.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $269.15 / $4,897.79	Professional		$218.78	$269.15	$4,897.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $229.09	Professional		$125.89	$194.98	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $269.15	Professional		$144.54	$181.97	$269.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $158.49 / $257.04	Professional		$29.51	$158.49	$257.04