Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,832.72 / $2,898.00	Facility		$988.00	$2,832.72	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.29 / $178.84 / $821.00	Professional		$74.29	$178.84	$821.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $689.33 / $689.33 / $1,571.75	Professional	50	$689.33	$689.33	$1,571.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.04 / $190.42 / $231.21	Professional		$90.04	$190.42	$231.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $119.70 / $141.55 / $290.42	Professional		$119.70	$141.55	$290.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.41 / $203.47 / $258.95	Professional		$80.41	$203.47	$258.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.67 / $231.21 / $292.20	Professional		$188.67	$231.21	$292.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $90.97 / $2,387.00 / $3,663.00	Professional		$90.97	$2,387.00	$3,663.00