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 $93.33 / $165.96 / $295.12	Professional		$93.33	$165.96	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $239.88	Professional		$204.17	$204.17	$239.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $2,454.71	Professional		$158.49	$194.98	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $199.53 / $257.04	Professional		$93.33	$199.53	$257.04
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 $107.15 / $204.17 / $295.12	Professional		$107.15	$204.17	$295.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $128.82 / $316.23	Professional		$33.11	$128.82	$316.23