Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,635.55 / $2,747.00 / $5,484.00	Facility		$1,635.55	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.76 / $532.70 / $1,010.03	Professional		$402.76	$532.70	$1,010.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $996.27 / $1,141.71 / $1,492.96	Professional	50	$996.27	$1,141.71	$1,492.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $673.53 / $779.55 / $935.46	Professional		$673.53	$779.55	$935.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $767.25 / $866.99 / $5,879.00	Professional		$767.25	$866.99	$5,879.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $538.82 / $686.00 / $779.55	Professional		$538.82	$686.00	$779.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $560.60 / $750.21 / $990.11	Professional		$560.60	$750.21	$990.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $564.54 / $3,098.10 / $8,000.00	Professional		$564.54	$3,098.10	$8,000.00