Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $5,484.00 / $6,718.00	Facility		$1,924.00	$5,484.00	$6,718.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.38 / $308.14 / $816.19	Professional		$168.38	$308.14	$816.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $482.32 / $482.32 / $482.32	Professional	50	$482.32	$482.32	$482.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.57 / $506.14 / $620.28	Professional		$242.57	$506.14	$620.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $307.97 / $380.73 / $2,077.00	Professional		$307.97	$380.73	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.34 / $496.22 / $620.28	Professional		$216.34	$496.22	$620.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $620.28 / $696.68 / $841.70	Professional		$620.28	$696.68	$841.70
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $260.74 / $692.76	Professional		$87.28	$260.74	$692.76