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 $105.76 / $150.96 / $579.62	Professional		$105.76	$150.96	$579.62
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $486.00 / $486.00 / $486.00	Professional	50	$486.00	$486.00	$486.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.15 / $523.16 / $778.71	Professional		$118.15	$523.16	$778.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $154.53 / $191.34 / $924.26	Professional		$154.53	$191.34	$924.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.78 / $685.27 / $872.16	Professional		$106.78	$685.27	$872.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $635.42 / $778.71 / $975.08	Professional		$635.42	$778.71	$975.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $104.01 / $137.13 / $5,287.00	Professional		$104.01	$137.13	$5,287.00