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 $64.57 / $190.55 / $389.05	Professional		$64.57	$190.55	$389.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $165.96 / $165.96 / $181.97	Professional	50	$165.96	$165.96	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $269.15 / $380.19	Professional		$79.43	$269.15	$380.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $371.54	Professional		$109.65	$134.90	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $302.00 / $380.19	Professional		$63.10	$302.00	$380.19
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 $56.23 / $213.80 / $338.84	Professional		$56.23	$213.80	$338.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $269.15	Professional		$61.66	$93.33	$269.15