Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.01 / $613.86 / $983.63	Professional		$408.01	$613.86	$983.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $481.90 / $481.90 / $1,104.56	Professional	50	$481.90	$481.90	$1,104.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $654.55 / $757.59 / $909.11	Professional		$654.55	$757.59	$909.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $724.68 / $836.18 / $4,284.89	Professional		$724.68	$836.18	$4,284.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $519.91 / $666.68 / $757.59	Professional		$519.91	$666.68	$757.59
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 $541.16 / $727.75 / $958.95	Professional		$541.16	$727.75	$958.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $517.99 / $1,958.52 / $5,287.00	Professional		$517.99	$1,958.52	$5,287.00