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 $45.71 / $128.82 / $281.84	Professional		$45.71	$128.82	$281.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional	50	$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $123.03 / $302.00	Professional		$56.23	$123.03	$302.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $2,344.23	Professional		$81.28	$104.71	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $173.78 / $213.80	Professional		$45.71	$173.78	$213.80
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 / $117.49 / $213.80	Professional		$48.98	$117.49	$213.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $134.90 / $223.87	Professional		$29.51	$134.90	$223.87