Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $511.50 / $829.60 / $2,747.00	Facility		$511.50	$829.60	$2,747.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,006.05 / $1,006.05 / $1,006.05	Facility	50	$1,006.05	$1,006.05	$1,006.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.06 / $73.68 / $155.04	Professional		$42.06	$73.68	$155.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $102.54 / $124.82 / $459.00	Professional	50	$102.54	$124.82	$459.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.50 / $83.21 / $99.86	Professional		$64.50	$83.21	$99.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $70.55 / $83.43 / $102.97	Professional		$70.55	$83.43	$102.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.70 / $70.56 / $83.21	Professional		$48.70	$70.56	$83.21
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 $67.90 / $83.21 / $100.47	Professional		$67.90	$83.21	$100.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.26 / $1,610.00 / $4,023.00	Professional		$49.26	$1,610.00	$4,023.00