Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,884.03 / $2,884.03	Facility		$489.78	$2,884.03	$2,884.03
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $741.31 / $741.31 / $1,479.11	Facility	50	$741.31	$741.31	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $213.80 / $478.63	Professional		$75.86	$213.80	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $190.55 / $489.78	Professional		$91.20	$190.55	$489.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $2,344.23	Professional		$134.90	$165.96	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $363.08 / $446.68	Professional		$75.86	$363.08	$446.68
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 $81.28 / $190.55 / $398.11	Professional		$81.28	$190.55	$398.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $223.87 / $501.19	Professional		$53.70	$223.87	$501.19