Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,890.45 / $3,890.45	Facility		$1,513.56	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $407.38	Professional		$138.04	$218.78	$407.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $363.08 / $363.08 / $398.11	Professional	50	$363.08	$363.08	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $269.15 / $371.54	Professional		$147.91	$269.15	$371.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $263.03 / $436.52	Professional		$234.42	$263.03	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $309.03 / $389.05	Professional		$141.25	$309.03	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $309.03 / $426.58	Professional		$190.55	$309.03	$426.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $199.53 / $389.05	Professional		$48.98	$199.53	$389.05