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 $100.00 / $128.82 / $239.88	Professional		$100.00	$128.82	$239.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $758.58 / $977.24 / $1,023.29	Professional	50	$758.58	$977.24	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $141.25 / $190.55	Professional		$123.03	$141.25	$190.55
HMSA Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $2,137.96	Professional		$177.83	$234.42	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $190.55	Professional		$107.15	$162.18	$190.55
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 $91.20 / $151.36 / $199.53	Professional		$91.20	$151.36	$199.53
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $186.21	Professional		$95.50	$128.82	$186.21