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 $38.61 / $67.94 / $267.00	Professional		$38.61	$67.94	$267.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $80.09 / $109.95 / $109.95	Professional	50	$80.09	$109.95	$109.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $73.95 / $88.74	Professional		$57.75	$73.95	$88.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $60.87 / $71.98 / $92.37	Professional		$60.87	$71.98	$92.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.36 / $62.71 / $73.95	Professional		$41.36	$62.71	$73.95
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 $56.70 / $73.95 / $91.05	Professional		$56.70	$73.95	$91.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $53.65 / $4,597.00	Professional		$29.27	$53.65	$4,597.00