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 $41.60 / $68.48 / $152.72	Professional		$41.60	$68.48	$152.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $239.39 / $239.39 / $239.39	Professional	50	$239.39	$239.39	$239.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.62 / $107.93 / $129.51	Professional		$83.62	$107.93	$129.51
HMSA Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $82.38 / $125.95	Professional		$71.52	$82.38	$125.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.60 / $91.52 / $107.93	Professional		$49.60	$91.52	$107.93
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 $82.51 / $107.93 / $125.31	Professional		$82.51	$107.93	$125.31
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $60.55 / $114.81	Professional		$29.27	$60.55	$114.81