Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $2,884.03	Facility		$1,000.00	$2,884.03	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $79.43 / $239.88	Professional		$48.98	$79.43	$239.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $676.08 / $676.08	Professional	50	$141.25	$676.08	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $128.82	Professional		$60.26	$95.50	$128.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $2,137.96	Professional		$85.11	$102.33	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $102.33 / $131.83	Professional		$48.98	$102.33	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $83.18 / $128.82	Professional		$43.65	$83.18	$128.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $67.61 / $125.89	Professional		$29.51	$67.61	$125.89