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 $70.79 / $165.96 / $363.08	Professional		$70.79	$165.96	$363.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $114.82 / $208.93	Professional	50	$109.65	$114.82	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $213.80 / $316.23	Professional		$77.62	$213.80	$316.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $2,454.71	Professional		$123.03	$158.49	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $288.40 / $363.08	Professional		$74.13	$288.40	$363.08
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 $95.50 / $218.78 / $354.81	Professional		$95.50	$218.78	$354.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $186.21 / $363.08	Professional		$45.71	$186.21	$363.08