Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.90 / $817.67 / $1,722.65	Professional		$765.90	$817.67	$1,722.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $6,841.86 / $6,841.86 / $6,841.86	Professional	50	$6,841.86	$6,841.86	$6,841.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,149.08 / $1,329.95 / $1,595.94	Professional		$1,149.08	$1,329.95	$1,595.94
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,426.91 / $1,678.72 / $6,882.00	Professional		$1,426.91	$1,678.72	$6,882.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,170.35 / $1,276.75 / $1,489.54	Professional		$1,170.35	$1,276.75	$1,489.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $920.19 / $1,156.69 / $1,349.20	Professional		$920.19	$1,156.69	$1,349.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $975.10 / $2,582.96 / $6,124.00	Professional		$975.10	$2,582.96	$6,124.00