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 $106.68 / $136.55 / $226.67	Professional		$106.68	$136.55	$226.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $172.38 / $172.38 / $172.38	Professional	50	$172.38	$172.38	$172.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.05 / $174.83 / $209.79	Professional		$151.05	$174.83	$209.79
HMSA Facility/Professional Professional Modifier Low / Median / High Price $184.93 / $207.77 / $2,540.00	Professional		$184.93	$207.77	$2,540.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.54 / $153.85 / $181.82	Professional		$139.54	$153.85	$181.82
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 $124.29 / $167.69 / $219.81	Professional		$124.29	$167.69	$219.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $125.97 / $4,566.20 / $8,072.00	Professional		$125.97	$4,566.20	$8,072.00