Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.36 / $342.36 / $2,747.00	Facility		$342.36	$342.36	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $72.88 / $89.63	Professional		$47.64	$72.88	$89.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $108.23 / $108.23 / $108.23	Professional	50	$108.23	$108.23	$108.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $87.84 / $105.41	Professional		$75.89	$87.84	$105.41
HMSA Facility/Professional Professional Modifier Low / Median / High Price $79.61 / $95.73 / $5,768.00	Professional		$79.61	$95.73	$5,768.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $75.30 / $87.84	Professional		$55.22	$75.30	$87.84
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 $63.86 / $84.46 / $111.90	Professional		$63.86	$84.46	$111.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $65.91 / $94.26	Professional		$29.27	$65.91	$94.26