Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.00 / $1,829.96 / $3,883.00	Facility		$743.00	$1,829.96	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.06 / $532.41 / $2,302.00	Professional		$368.06	$532.41	$2,302.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $206.57 / $206.57 / $619.71	Professional	50	$206.57	$206.57	$619.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.48 / $583.92 / $700.71	Professional		$476.48	$583.92	$700.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $70.41 / $629.21 / $3,857.00	Professional		$70.41	$629.21	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $504.45 / $560.57 / $642.03	Professional		$504.45	$560.57	$642.03
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 $441.30 / $583.92 / $713.49	Professional		$441.30	$583.92	$713.49
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $449.59 / $1,925.00 / $5,287.00	Professional		$449.59	$1,925.00	$5,287.00