Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,818.38 / $3,890.45	Facility		$1,513.56	$2,818.38	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $169.82 / $234.42	Professional		$91.20	$169.82	$234.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $1,258.93 / $1,258.93	Professional	50	$128.82	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $199.53	Professional		$158.49	$194.98	$199.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $7,943.28	Professional		$208.93	$275.42	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $165.96 / $204.17	Professional		$151.36	$165.96	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $251.19	Professional		$162.18	$199.53	$251.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $2,089.30 / $5,370.32	Professional		$208.93	$2,089.30	$5,370.32