Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,883.00 / $4,705.00	Facility		$1,486.00	$3,883.00	$4,705.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.59 / $303.33 / $430.52	Professional		$180.59	$303.33	$430.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,387.31 / $1,387.31 / $1,387.31	Professional	50	$1,387.31	$1,387.31	$1,387.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.64 / $333.34 / $389.54	Professional		$236.64	$333.34	$389.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $262.33 / $323.37 / $414.04	Professional		$262.33	$323.37	$414.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.95 / $293.33 / $373.34	Professional		$182.95	$293.33	$373.34
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 $272.00 / $333.34 / $409.56	Professional		$272.00	$333.34	$409.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $222.11 / $1,402.00 / $3,725.00	Professional		$222.11	$1,402.00	$3,725.00