Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.20 / $988.00 / $2,898.00	Facility		$451.20	$988.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.67 / $59.49 / $91.56	Professional		$51.67	$59.49	$91.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $104.36 / $132.60 / $445.50	Professional	50	$104.36	$132.60	$445.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $70.66 / $84.80	Professional		$55.16	$70.66	$84.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $57.80 / $68.34 / $87.06	Professional		$57.80	$68.34	$87.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.69 / $59.92 / $70.66	Professional		$39.69	$59.92	$70.66
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 $57.66 / $70.66 / $84.77	Professional		$57.66	$70.66	$84.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.75 / $69.76 / $3,956.00	Professional		$32.75	$69.76	$3,956.00