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 $10.00 / $30.90 / $81.28	Professional		$10.00	$30.90	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $45.71 / $57.54	Professional		$18.20	$45.71	$57.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $93.33 / $102.33	Professional		$74.13	$93.33	$102.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $56.23 / $66.07	Professional		$25.12	$56.23	$66.07
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 $22.91 / $57.54 / $87.10	Professional		$22.91	$57.54	$87.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $54.95 / $138.04	Professional		$21.88	$54.95	$138.04