Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,000.00 / $2,884.03	Facility		$501.19	$1,000.00	$2,884.03
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $562.34 / $562.34 / $562.34	Facility	50	$562.34	$562.34	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $102.33 / $512.86	Professional		$56.23	$102.33	$512.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $302.00 / $812.83	Professional	50	$151.36	$302.00	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $141.25	Professional		$69.18	$104.71	$141.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $2,137.96	Professional		$95.50	$125.89	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $112.20 / $144.54	Professional		$54.95	$112.20	$144.54
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 $48.98 / $95.50 / $147.91	Professional		$48.98	$95.50	$147.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $2,454.71 / $4,073.80	Professional		$64.57	$2,454.71	$4,073.80