Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,883.00 / $4,705.00	Facility		$1,486.00	$3,883.00	$4,705.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $192.36 / $375.13	Professional		$120.06	$192.36	$375.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,587.00 / $1,587.00 / $1,587.00	Professional	50	$1,587.00	$1,587.00	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.44 / $254.89 / $285.00	Professional		$161.44	$254.89	$285.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $225.18 / $266.27 / $361.50	Professional		$225.18	$266.27	$361.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.76 / $250.80 / $319.20	Professional		$156.76	$250.80	$319.20
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 $232.56 / $285.00 / $356.30	Professional		$232.56	$285.00	$356.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.52 / $225.30 / $316.20	Professional		$39.52	$225.30	$316.20