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 $64.57 / $134.90 / $223.87	Professional		$64.57	$134.90	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $288.40	Professional		$114.82	$154.88	$288.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $251.19	Professional		$194.98	$245.47	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $165.96 / $199.53	Professional		$50.12	$165.96	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $154.88 / $275.42	Professional		$77.62	$154.88	$275.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $208.93	Professional		$57.54	$83.18	$208.93