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 $88.26 / $110.34 / $165.27	Professional		$88.26	$110.34	$165.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $148.08 / $148.08 / $168.47	Professional	50	$148.08	$148.08	$168.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.91 / $126.05 / $151.26	Professional		$108.91	$126.05	$151.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $130.49 / $149.99 / $2,462.00	Professional		$130.49	$149.99	$2,462.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.71 / $110.92 / $126.05	Professional		$91.71	$110.92	$126.05
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 $85.34 / $126.02 / $153.54	Professional		$85.34	$126.02	$153.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $97.14 / $137.41	Professional		$29.27	$97.14	$137.41