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 $50.12 / $85.11 / $138.04	Professional		$50.12	$85.11	$138.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $173.78 / $173.78 / $933.25	Professional	50	$173.78	$173.78	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $128.82	Professional		$60.26	$95.50	$128.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $134.90	Professional		$85.11	$112.20	$134.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $109.65 / $138.04	Professional		$50.12	$109.65	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $83.18 / $131.83	Professional		$43.65	$83.18	$131.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $123.03	Professional		$47.86	$70.79	$123.03