Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.90 / $515.95 / $515.95	Facility		$369.90	$515.95	$515.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.75 / $94.06 / $108.00	Professional		$27.75	$94.06	$108.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $233.78 / $233.78 / $237.85	Professional	50	$233.78	$233.78	$237.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.36 / $117.40 / $140.88	Professional		$83.36	$117.40	$140.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $45.43 / $53.72 / $142.72	Professional		$45.43	$53.72	$142.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $99.56 / $117.40	Professional		$28.91	$99.56	$117.40
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 $95.80 / $117.40 / $152.28	Professional		$95.80	$117.40	$152.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $36.27 / $129.71	Professional		$16.34	$36.27	$129.71