Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,466.84 / $4,466.84	Facility		$1,778.28	$4,466.84	$4,466.84
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility	50	$4,466.84	$4,466.84	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $389.05	Professional		$239.88	$302.00	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $323.59 / $380.19	Professional		$316.23	$323.59	$380.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $537.03 / $12,589.25	Professional		$416.87	$537.03	$12,589.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $263.03 / $331.13	Professional		$245.47	$263.03	$331.13
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 $263.03 / $346.74 / $416.87	Professional		$263.03	$346.74	$416.87
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $3,235.94 / $6,165.95	Professional		$371.54	$3,235.94	$6,165.95