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 $89.13 / $120.23 / $186.21	Professional		$89.13	$120.23	$186.21
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $831.76 / $831.76	Professional	50	$288.40	$831.76	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $204.17	Professional		$102.33	$144.54	$204.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $177.83 / $2,398.83	Professional		$154.88	$177.83	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $204.17	Professional		$107.15	$165.96	$204.17
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 $87.10 / $138.04 / $190.55	Professional		$87.10	$138.04	$190.55
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $117.49 / $177.83	Professional		$29.51	$117.49	$177.83