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 $249.93 / $333.54 / $631.54	Professional		$249.93	$333.54	$631.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,348.40 / $2,348.40 / $2,348.40	Professional	50	$2,348.40	$2,348.40	$2,348.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.85 / $457.03 / $491.65	Professional		$350.85	$457.03	$491.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $457.32 / $540.78 / $616.30	Professional		$457.32	$540.78	$616.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $317.36 / $432.65 / $550.65	Professional		$317.36	$432.65	$550.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $401.19 / $491.65 / $615.57	Professional		$401.19	$491.65	$615.57
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $67.39 / $422.65 / $539.10	Professional		$67.39	$422.65	$539.10