Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $2,884.03	Facility		$1,000.00	$2,884.03	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $346.74 / $1,258.93	Professional		$173.78	$346.74	$1,258.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $208.93 / $467.74	Professional	50	$208.93	$208.93	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $1,047.13 / $1,071.52	Professional		$218.78	$1,047.13	$1,071.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $9,549.93	Professional		$275.42	$371.54	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $891.25 / $1,122.02	Professional		$162.18	$891.25	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $870.96 / $1,202.26	Professional		$213.80	$870.96	$1,202.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $851.14 / $7,244.36	Professional		$147.91	$851.14	$7,244.36