Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,747.00 / $4,456.00	Facility		$1,758.00	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.25 / $518.86 / $2,209.63	Professional		$312.25	$518.86	$2,209.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $156.31 / $1,758.00 / $1,758.00	Professional	50	$156.31	$1,758.00	$1,758.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.90 / $621.90 / $621.90	Facility		$621.90	$621.90	$621.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.57 / $2,161.87 / $3,325.05	Professional		$436.57	$2,161.87	$3,325.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $531.85 / $632.72 / $3,346.99	Professional		$531.85	$632.72	$3,346.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.19 / $2,183.06 / $2,649.35	Professional		$375.19	$2,183.06	$2,649.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,201.96 / $2,649.35 / $3,362.82	Professional		$2,201.96	$2,649.35	$3,362.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $307.74 / $2,321.58 / $10,954.00	Professional		$307.74	$2,321.58	$10,954.00