Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.43 / $2,747.00 / $6,084.00	Facility		$1,861.43	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.01 / $263.51 / $801.83	Professional		$171.01	$263.51	$801.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $474.95 / $474.95 / $474.95	Professional	50	$474.95	$474.95	$474.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.51 / $295.68 / $350.04	Professional		$199.51	$295.68	$350.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $915.42 / $1,053.28 / $6,874.20	Professional		$915.42	$1,053.28	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.32 / $260.19 / $331.16	Professional		$136.32	$260.19	$331.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $241.27 / $295.68 / $351.71	Professional		$241.27	$295.68	$351.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $267.30 / $3,619.79 / $9,324.00	Professional		$267.30	$3,619.79	$9,324.00