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 $144.54 / $199.53 / $302.00	Professional		$144.54	$199.53	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $281.84	Professional		$158.49	$218.78	$281.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $323.59 / $2,454.71	Professional		$269.15	$323.59	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $295.12	Professional		$165.96	$239.88	$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 $186.21 / $245.47 / $323.59	Professional		$186.21	$245.47	$323.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $3,981.07	Professional		$147.91	$218.78	$3,981.07