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 $68.06 / $98.96 / $405.84	Professional		$68.06	$98.96	$405.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $135.13 / $630.17 / $789.00	Professional	50	$135.13	$630.17	$789.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $94.56 / $113.48	Professional		$73.40	$94.56	$113.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $97.52 / $113.82 / $140.60	Professional		$97.52	$113.82	$140.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.42 / $80.19 / $94.56	Professional		$55.42	$80.19	$94.56
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 $77.16 / $94.56 / $115.49	Professional		$77.16	$94.56	$115.49
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $72.54 / $188.55	Professional		$29.27	$72.54	$188.55