Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,025.60 / $6,025.60	Facility		$2,570.40	$6,025.60	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $588.84 / $1,174.90	Professional		$457.09	$588.84	$1,174.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $691.83 / $891.25 / $1,659.59	Professional	50	$691.83	$891.25	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $812.83	Professional		$660.69	$660.69	$812.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $5,495.41	Professional		$891.25	$1,096.48	$5,495.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $891.25	Professional		$562.34	$741.31	$891.25
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 $478.63 / $741.31 / $1,023.29	Professional		$478.63	$741.31	$1,023.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $3,981.07 / $9,332.54	Professional		$602.56	$3,981.07	$9,332.54