Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.43 / $2,747.00 / $6,084.00	Facility		$1,861.43	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.60 / $367.09 / $489.80	Professional		$304.60	$367.09	$489.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,075.81 / $1,075.81 / $2,795.80	Professional	50	$1,075.81	$1,075.81	$2,795.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.65 / $394.65 / $484.50	Professional		$394.65	$394.65	$484.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $511.14 / $574.28 / $9,552.00	Professional		$511.14	$574.28	$9,552.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $347.29 / $378.86 / $442.01	Professional		$347.29	$378.86	$442.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $322.02 / $394.65 / $512.22	Professional		$322.02	$394.65	$512.22
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $431.42 / $3,692.19 / $9,324.00	Professional		$431.42	$3,692.19	$9,324.00