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 $131.83 / $199.53 / $354.81	Professional		$131.83	$199.53	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $281.84	Professional		$245.47	$245.47	$281.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $269.15 / $4,677.35	Professional		$218.78	$269.15	$4,677.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $229.09 / $295.12	Professional		$128.82	$229.09	$295.12
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 $151.36 / $239.88 / $363.08	Professional		$151.36	$239.88	$363.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $177.83 / $338.84	Professional		$38.90	$177.83	$338.84