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 $109.65 / $134.90 / $208.93	Professional		$109.65	$134.90	$208.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $223.87 / $223.87 / $223.87	Professional	50	$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $173.78	Professional		$151.36	$151.36	$173.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $245.47 / $2,691.53	Professional		$190.55	$245.47	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $204.17	Professional		$123.03	$158.49	$204.17
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 $117.49 / $151.36 / $218.78	Professional		$117.49	$151.36	$218.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $131.83 / $186.21	Professional		$29.51	$131.83	$186.21