Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,635.55 / $2,747.00 / $5,484.00	Facility		$1,635.55	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $576.19 / $715.17 / $1,086.58	Professional		$576.19	$715.17	$1,086.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,432.62 / $4,348.17 / $5,685.00	Professional	50	$1,432.62	$4,348.17	$5,685.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.19 / $971.10 / $1,074.50	Professional		$796.19	$971.10	$1,074.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,077.00 / $1,217.01 / $1,529.34	Professional		$1,077.00	$1,217.01	$1,529.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $754.24 / $959.94 / $1,203.44	Professional		$754.24	$959.94	$1,203.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $876.79 / $1,074.50 / $1,363.53	Professional		$876.79	$1,074.50	$1,363.53
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $796.98 / $3,191.04 / $8,000.00	Professional		$796.98	$3,191.04	$8,000.00