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 $488.87 / $644.54 / $1,326.48	Professional		$488.87	$644.54	$1,326.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,070.82 / $1,070.82 / $1,070.82	Professional	50	$1,070.82	$1,070.82	$1,070.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $825.22 / $955.11 / $1,146.14	Professional		$825.22	$955.11	$1,146.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $950.64 / $1,074.22 / $5,879.00	Professional		$950.64	$1,074.22	$5,879.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $667.57 / $840.50 / $955.11	Professional		$667.57	$840.50	$955.11
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 $689.77 / $920.40 / $1,218.98	Professional		$689.77	$920.40	$1,218.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $665.45 / $2,575.00 / $6,283.00	Professional		$665.45	$2,575.00	$6,283.00