Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.39 / $305.91 / $1,452.00	Professional		$199.39	$305.91	$1,452.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $315.72 / $315.72 / $315.72	Professional	50	$315.72	$315.72	$315.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.00 / $360.74 / $392.43	Professional		$248.00	$360.74	$392.43
HMSA Facility/Professional Professional Modifier Low / Median / High Price $322.35 / $399.14 / $4,116.00	Professional		$322.35	$399.14	$4,116.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.81 / $345.33 / $392.43	Professional		$239.81	$345.33	$392.43
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 $320.22 / $392.43 / $514.08	Professional		$320.22	$392.43	$514.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $272.92 / $1,958.52 / $5,287.00	Professional		$272.92	$1,958.52	$5,287.00