Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,747.00 / $2,898.00	Facility		$988.00	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $82.06 / $137.01	Professional		$51.90	$82.06	$137.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.04 / $510.00 / $598.50	Professional	50	$109.04	$510.00	$598.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.06 / $106.68 / $128.01	Professional		$82.06	$106.68	$128.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $89.42 / $102.99 / $122.11	Professional		$89.42	$102.99	$122.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.58 / $90.46 / $106.68	Professional		$61.58	$90.46	$106.68
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 $79.33 / $106.68 / $128.00	Professional		$79.33	$106.68	$128.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $75.88 / $114.27	Professional		$29.27	$75.88	$114.27