Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $1,941.50 / $3,883.00	Facility		$1,157.88	$1,941.50	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.43 / $123.47 / $172.97	Professional		$90.43	$123.47	$172.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $87.63 / $87.63 / $87.63	Professional	50	$87.63	$87.63	$87.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.31 / $197.54 / $197.54	Professional		$160.31	$197.54	$197.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $206.39 / $237.47 / $6,874.20	Professional		$206.39	$237.47	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.83 / $189.64 / $221.24	Professional		$173.83	$189.64	$221.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $197.54 / $250.95	Professional		$161.19	$197.54	$250.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $194.24 / $2,040.00 / $5,304.00	Professional		$194.24	$2,040.00	$5,304.00