Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,818.38 / $2,884.03	Facility		$524.81	$2,818.38	$2,884.03
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $977.24 / $977.24 / $977.24	Facility	50	$977.24	$977.24	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $64.57 / $275.42	Professional		$38.90	$64.57	$275.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $316.23 / $501.19	Professional	50	$141.25	$316.23	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $81.28	Professional		$44.67	$60.26	$81.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $2,137.96	Professional		$63.10	$77.62	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $64.57 / $83.18	Professional		$36.31	$64.57	$83.18
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 $32.36 / $60.26 / $83.18	Professional		$32.36	$60.26	$83.18
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $51.29 / $79.43	Professional		$29.51	$51.29	$79.43