Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $5,495.41 / $5,495.41	Facility		$1,949.84	$5,495.41	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility	50	$5,495.41	$5,495.41	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $676.08	Professional		$251.19	$323.59	$676.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $162.18 / $162.18 / $162.18	Professional	50	$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $575.44	Professional		$269.15	$331.13	$575.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $467.74 / $11,481.54	Professional		$398.11	$467.74	$11,481.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $467.74 / $588.84	Professional		$223.87	$467.74	$588.84
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 $316.23 / $467.74 / $645.65	Professional		$316.23	$467.74	$645.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $2,570.40 / $6,165.95	Professional		$323.59	$2,570.40	$6,165.95