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 / $4,365.16	Facility		$1,000.00	$2,884.03	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $177.83 / $645.65	Professional		$87.10	$177.83	$645.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $234.42 / $389.05 / $1,548.82	Professional	50	$234.42	$389.05	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $257.04	Professional		$107.15	$190.55	$257.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $2,137.96	Professional		$147.91	$194.98	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $208.93 / $269.15	Professional		$91.20	$208.93	$269.15
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 $74.13 / $147.91 / $323.59	Professional		$74.13	$147.91	$323.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $1,621.81 / $3,981.07	Professional		$112.20	$1,621.81	$3,981.07