Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,715.35 / $3,890.45	Facility		$741.31	$3,715.35	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.86 / $1,949.84	Professional		$389.05	$512.86	$1,949.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $537.03 / $630.96 / $1,174.90	Professional	50	$537.03	$630.96	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $512.86 / $630.96	Professional		$446.68	$512.86	$630.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $676.08 / $5,248.07	Professional		$74.13	$676.08	$5,248.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $562.34 / $707.95	Professional		$489.78	$562.34	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $707.95	Professional		$338.84	$489.78	$707.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,995.26 / $5,370.32	Professional		$446.68	$1,995.26	$5,370.32