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 $57.54 / $97.72 / $169.82	Professional		$57.54	$97.72	$169.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $977.24 / $977.24 / $977.24	Professional	50	$977.24	$977.24	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $141.25	Professional		$79.43	$104.71	$141.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $2,137.96	Professional		$97.72	$120.23	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $117.49 / $147.91	Professional		$58.88	$117.49	$147.91
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 $48.98 / $95.50 / $208.93	Professional		$48.98	$95.50	$208.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $123.03 / $3,090.30	Professional		$52.48	$123.03	$3,090.30