Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,747.00 / $2,898.00	Facility		$988.00	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.59 / $84.89 / $184.64	Professional		$57.59	$84.89	$184.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.80 / $276.95 / $927.00	Professional	50	$144.80	$276.95	$927.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $147.05 / $176.46	Professional		$115.43	$147.05	$176.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $88.47 / $107.96 / $178.29	Professional		$88.47	$107.96	$178.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.81 / $124.70 / $147.05	Professional		$55.81	$124.70	$147.05
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 $113.41 / $147.05 / $178.41	Professional		$113.41	$147.05	$178.41
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $105.52 / $3,097.00	Professional		$44.60	$105.52	$3,097.00