Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,883.00 / $4,705.00	Facility		$1,486.00	$3,883.00	$4,705.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.06 / $870.17 / $1,259.35	Professional		$137.06	$870.17	$1,259.35
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,837.70 / $1,837.70 / $1,837.70	Professional	50	$1,837.70	$1,837.70	$1,837.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.80 / $1,132.67 / $1,225.13	Professional		$172.80	$1,132.67	$1,225.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $233.06 / $268.45 / $1,547.38	Professional		$233.06	$268.45	$1,547.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.15 / $1,078.10 / $1,372.14	Professional		$163.15	$1,078.10	$1,372.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $999.70 / $1,225.13 / $1,740.05	Professional		$999.70	$1,225.13	$1,740.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $132.06 / $198.87 / $1,455.01	Professional		$132.06	$198.87	$1,455.01