Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $112.20 / $549.54	Professional		$61.66	$112.20	$549.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $363.08 / $1,071.52 / $1,071.52	Professional	50	$363.08	$1,071.52	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $123.03 / $165.96	Professional		$74.13	$123.03	$165.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $2,454.71	Professional		$97.72	$114.82	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $147.91 / $186.21	Professional		$67.61	$147.91	$186.21
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 $51.29 / $85.11 / $151.36	Professional		$51.29	$85.11	$151.36
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $1,513.56 / $4,073.80	Professional		$57.54	$1,513.56	$4,073.80