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 $451.50 / $714.98 / $916.05	Professional		$451.50	$714.98	$916.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $78.04 / $78.04 / $780.44	Professional	50	$78.04	$78.04	$780.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.02 / $703.73 / $844.47	Professional		$608.02	$703.73	$844.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $655.77 / $774.47 / $4,334.00	Professional		$655.77	$774.47	$4,334.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $488.86 / $619.28 / $703.73	Professional		$488.86	$619.28	$703.73
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 $481.44 / $606.77 / $706.43	Professional		$481.44	$606.77	$706.43
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $489.50 / $1,981.00 / $5,401.00	Professional		$489.50	$1,981.00	$5,401.00