Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.27 / $308.64 / $693.04	Professional		$166.27	$308.64	$693.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $414.09 / $462.96 / $1,458.00	Professional	50	$414.09	$462.96	$1,458.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.75 / $344.86 / $377.99	Professional		$217.75	$344.86	$377.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $250.74 / $305.68 / $415.35	Professional		$250.74	$305.68	$415.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.52 / $303.48 / $386.25	Professional		$175.52	$303.48	$386.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $281.41 / $344.86 / $417.62	Professional		$281.41	$344.86	$417.62
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $213.36 / $2,000.00 / $5,304.00	Professional		$213.36	$2,000.00	$5,304.00