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 $64.57 / $186.21 / $380.19	Professional		$64.57	$186.21	$380.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $933.25 / $933.25 / $3,388.44	Professional	50	$933.25	$933.25	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $162.18 / $389.05	Professional		$79.43	$162.18	$389.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $2,398.83	Professional		$109.65	$144.54	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $257.04 / $316.23	Professional		$63.10	$257.04	$316.23
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 $67.61 / $154.88 / $302.00	Professional		$67.61	$154.88	$302.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $177.83 / $398.11	Professional		$39.81	$177.83	$398.11