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 $154.88 / $199.53 / $309.03	Professional		$154.88	$199.53	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $263.03	Professional		$229.09	$229.09	$263.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $338.84 / $4,897.79	Professional		$275.42	$338.84	$4,897.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $288.40	Professional		$158.49	$245.47	$288.40
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 $177.83 / $229.09 / $331.13	Professional		$177.83	$229.09	$331.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $199.53 / $323.59	Professional		$35.48	$199.53	$323.59