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 $138.04 / $204.17 / $371.54	Professional		$138.04	$204.17	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $288.40	Professional		$245.47	$245.47	$288.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $2,454.71	Professional		$245.47	$302.00	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $263.03 / $309.03	Professional		$147.91	$263.03	$309.03
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 $154.88 / $239.88 / $363.08	Professional		$154.88	$239.88	$363.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $199.53 / $316.23	Professional		$39.81	$199.53	$316.23