Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $2,818.38	Facility		$338.84	$338.84	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $67.61 / $104.71	Professional		$50.12	$67.61	$104.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $107.15 / $107.15 / $107.15	Professional	50	$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $87.10	Professional		$75.86	$75.86	$87.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $7,079.46	Professional		$83.18	$102.33	$7,079.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $79.43 / $93.33	Professional		$46.77	$79.43	$93.33
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 $61.66 / $83.18 / $112.20	Professional		$61.66	$83.18	$112.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $66.07 / $93.33	Professional		$29.51	$66.07	$93.33