Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,000.00 / $2,884.03	Facility		$446.68	$1,000.00	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $58.88 / $204.17	Professional		$37.15	$58.88	$204.17
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $26.30 / $44.67 / $93.33	Professional	50	$26.30	$44.67	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $77.62	Professional		$42.66	$57.54	$77.62
HMSA Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $2,137.96	Professional		$60.26	$74.13	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $61.66 / $79.43	Professional		$35.48	$61.66	$79.43
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 $30.20 / $57.54 / $85.11	Professional		$30.20	$57.54	$85.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $75.86 / $3,981.07	Professional		$33.11	$75.86	$3,981.07