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 $53.35 / $120.17 / $160.35	Professional		$53.35	$120.17	$160.35
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $342.05 / $342.05 / $342.05	Professional	50	$342.05	$342.05	$342.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.27 / $102.48 / $158.60	Professional		$73.27	$102.48	$158.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $80.01 / $99.07 / $176.29	Professional		$80.01	$99.07	$176.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.66 / $90.18 / $114.77	Professional		$56.66	$90.18	$114.77
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 $83.62 / $102.48 / $130.16	Professional		$83.62	$102.48	$130.16
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $98.93 / $180.01	Professional		$29.27	$98.93	$180.01