Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,898.00 / $3,444.00	Facility		$988.00	$2,898.00	$3,444.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.28 / $129.32 / $423.00	Professional		$50.28	$129.32	$423.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $220.77 / $231.25 / $540.23	Professional	50	$220.77	$231.25	$540.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.33 / $111.96 / $206.05	Professional		$68.33	$111.96	$206.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $86.88 / $105.29 / $167.91	Professional		$86.88	$105.29	$167.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $181.32 / $230.78	Professional		$59.50	$181.32	$230.78
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 $168.14 / $206.05 / $240.21	Professional		$168.14	$206.05	$240.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $86.01 / $228.78	Professional		$29.27	$86.01	$228.78