Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $8,308.04 / $10,590.34	Facility		$1,924.00	$8,308.04	$10,590.34
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,924.00 / $9,554.50 / $9,554.50	Facility	50	$1,924.00	$9,554.50	$9,554.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.88 / $454.90 / $1,737.00	Professional		$361.88	$454.90	$1,737.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,537.42 / $1,537.42 / $1,537.42	Facility		$1,537.42	$1,537.42	$1,537.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.05 / $538.04 / $1,058.79	Professional		$439.05	$538.04	$1,058.79
HMSA Facility/Professional Professional Modifier Low / Median / High Price $569.11 / $639.41 / $769.97	Professional		$569.11	$639.41	$769.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.48 / $516.53 / $602.62	Professional		$473.48	$516.53	$602.62
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 $387.50 / $538.04 / $845.45	Professional		$387.50	$538.04	$845.45
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $521.60 / $3,900.00 / $8,000.00	Professional		$521.60	$3,900.00	$8,000.00