Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $2,747.00 / $2,747.00	Facility		$2,747.00	$2,747.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $45.11 / $57.98	Professional		$33.34	$45.11	$57.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $30.01 / $30.01 / $30.01	Professional	50	$30.01	$30.01	$30.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $35.83 / $42.99	Professional		$30.95	$35.83	$42.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $58.46 / $69.13 / $2,286.00	Professional		$58.46	$69.13	$2,286.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $34.39 / $40.11	Professional		$31.53	$34.39	$40.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $35.83 / $62.08	Professional		$30.95	$35.83	$62.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,140.00 / $3,956.00	Professional		$29.27	$1,140.00	$3,956.00