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 $102.33 / $186.21 / $457.09	Professional		$102.33	$186.21	$457.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $281.84 / $1,380.38 / $1,819.70	Professional	50	$281.84	$1,380.38	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $275.42	Professional		$125.89	$204.17	$275.42
HMSA Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $2,137.96	Professional		$173.78	$223.87	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $223.87 / $288.40	Professional		$104.71	$223.87	$288.40
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 $87.10 / $169.82 / $354.81	Professional		$87.10	$169.82	$354.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $2,454.71 / $4,073.80	Professional		$131.83	$2,454.71	$4,073.80