Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $2,747.00 / $2,747.00	Facility		$2,747.00	$2,747.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $35.93 / $69.26	Professional		$28.33	$35.93	$69.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.19 / $19.19 / $38.38	Professional	50	$19.19	$19.19	$38.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.40 / $53.70 / $64.44	Professional		$46.40	$53.70	$64.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $54.39 / $62.65 / $2,286.00	Professional		$54.39	$62.65	$2,286.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.27 / $47.26 / $53.70	Professional		$38.27	$47.26	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $51.60 / $68.69	Professional		$39.33	$51.60	$68.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $41.34 / $58.05	Professional		$29.27	$41.34	$58.05