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 $104.71 / $524.81 / $851.14	Professional		$104.71	$524.81	$851.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $141.25 / $239.88	Professional	50	$138.04	$141.25	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $489.78 / $776.25	Professional		$102.33	$489.78	$776.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $4,570.88	Professional		$162.18	$218.78	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $630.96 / $794.33	Professional		$97.72	$630.96	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $630.96 / $870.96	Professional		$131.83	$630.96	$870.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $549.54 / $5,623.41	Professional		$104.71	$549.54	$5,623.41