Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $2,747.00 / $2,898.00	Facility		$494.00	$2,747.00	$2,898.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $741.00 / $741.00 / $1,482.00	Facility	50	$741.00	$741.00	$1,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $205.88 / $535.33	Professional		$71.20	$205.88	$535.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.81 / $138.81 / $138.81	Facility		$138.81	$138.81	$138.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $293.33 / $429.70	Professional		$94.16	$293.33	$429.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $128.58 / $152.05 / $375.04	Professional		$128.58	$152.05	$375.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.20 / $332.39 / $403.39	Professional		$87.20	$332.39	$403.39
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 $267.41 / $403.39 / $500.30	Professional		$267.41	$403.39	$500.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $53.36 / $221.32 / $500.47	Professional		$53.36	$221.32	$500.47