Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,883.00 / $4,705.00	Facility		$1,486.00	$3,883.00	$4,705.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.03 / $301.10 / $493.89	Professional		$138.03	$301.10	$493.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $250.26 / $250.26 / $250.26	Professional	50	$250.26	$250.26	$250.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.17 / $363.63 / $436.35	Professional		$314.17	$363.63	$436.35
HMSA Facility/Professional Professional Modifier Low / Median / High Price $251.76 / $297.70 / $3,857.00	Professional		$251.76	$297.70	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.50 / $290.89 / $363.63	Professional		$176.50	$290.89	$363.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $258.75 / $348.28 / $469.92	Professional		$258.75	$348.28	$469.92
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.09 / $271.43 / $768.00	Professional		$51.09	$271.43	$768.00