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 $87.10 / $120.23 / $275.42	Professional		$87.10	$120.23	$275.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $323.59 / $323.59 / $575.44	Professional	50	$323.59	$323.59	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $208.93 / $257.04	Professional		$123.03	$208.93	$257.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $2,454.71	Professional		$144.54	$199.53	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $218.78 / $275.42	Professional		$70.79	$218.78	$275.42
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 $93.33 / $213.80 / $295.12	Professional		$93.33	$213.80	$295.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $123.03 / $281.84	Professional		$34.67	$123.03	$281.84