Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.43 / $2,747.00 / $6,084.00	Facility		$1,861.43	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $472.94 / $591.73 / $1,174.05	Professional		$472.94	$591.73	$1,174.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $762.08 / $887.94 / $4,838.22	Professional	50	$762.08	$887.94	$4,838.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.61 / $808.35 / $970.02	Professional		$659.61	$808.35	$970.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $886.09 / $1,001.28 / $5,544.00	Professional		$886.09	$1,001.28	$5,544.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $625.09 / $711.35 / $808.35	Professional		$625.09	$711.35	$808.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $659.61 / $808.35 / $1,576.32	Professional		$659.61	$808.35	$1,576.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $596.55 / $3,619.79 / $9,324.00	Professional		$596.55	$3,619.79	$9,324.00