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 $64.51 / $124.10 / $155.26	Professional		$64.51	$124.10	$155.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $326.91 / $326.91 / $326.91	Professional	50	$326.91	$326.91	$326.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.78 / $110.14 / $132.16	Professional		$88.78	$110.14	$132.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $102.35 / $121.03 / $180.37	Professional		$102.35	$121.03	$180.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.31 / $93.40 / $110.14	Professional		$59.31	$93.40	$110.14
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 $89.87 / $110.14 / $147.22	Professional		$89.87	$110.14	$147.22
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $78.43 / $172.70	Professional		$29.27	$78.43	$172.70