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 $34.02 / $53.87 / $198.00	Professional		$34.02	$53.87	$198.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.33 / $83.71 / $328.50	Professional	50	$72.33	$83.71	$328.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.04 / $69.39 / $83.27	Professional		$53.04	$69.39	$83.27
HMSA Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $65.70 / $84.30	Professional		$55.56	$65.70	$84.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.58 / $58.84 / $69.39	Professional		$38.58	$58.84	$69.39
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 $53.87 / $69.39 / $81.81	Professional		$53.87	$69.39	$81.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $47.41 / $73.73	Professional		$29.27	$47.41	$73.73