Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $2,884.03	Facility		$1,000.00	$2,884.03	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $46.77 / $83.18	Professional		$28.84	$46.77	$83.18
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $70.79 / $218.78 / $338.84	Professional	50	$70.79	$218.78	$338.84
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $26.92 / $26.92 / $26.92	Professional	52	$26.92	$26.92	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $48.98 / $61.66	Professional		$32.36	$48.98	$61.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $66.07 / $2,454.71	Professional		$53.70	$66.07	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $50.12 / $63.10	Professional		$29.51	$50.12	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $70.79	Professional		$38.90	$52.48	$70.79
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $1,905.46 / $5,623.41	Professional		$35.48	$1,905.46	$5,623.41