Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $5,299.00	Facility		$1,758.00	$4,456.00	$5,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.14 / $193.84 / $812.09	Professional		$115.14	$193.84	$812.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,182.58 / $1,218.14 / $1,582.50	Professional	50	$1,182.58	$1,218.14	$1,582.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.16 / $231.77 / $265.91	Professional		$154.16	$231.77	$265.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $214.62 / $253.79 / $333.82	Professional		$214.62	$253.79	$333.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.83 / $234.00 / $297.82	Professional		$151.83	$234.00	$297.82
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 $216.98 / $265.91 / $330.36	Professional		$216.98	$265.91	$330.36
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $199.92 / $291.99	Professional		$36.50	$199.92	$291.99