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 $141.25 / $169.82 / $245.47	Professional		$141.25	$169.82	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $204.17	Professional		$177.83	$177.83	$204.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $2,691.53	Professional		$218.78	$288.40	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $239.88	Professional		$151.36	$186.21	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $186.21 / $257.04	Professional		$162.18	$186.21	$257.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $1,202.26 / $3,981.07	Professional		$144.54	$1,202.26	$3,981.07