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 $83.82 / $97.15 / $187.82	Professional		$83.82	$97.15	$187.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $204.82 / $715.80 / $737.28	Professional	50	$204.82	$715.80	$737.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.99 / $143.97 / $172.77	Professional		$113.99	$143.97	$172.77
HMSA Facility/Professional Professional Modifier Low / Median / High Price $128.22 / $151.63 / $183.65	Professional		$128.22	$151.63	$183.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $122.09 / $143.97	Professional		$59.25	$122.09	$143.97
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 $117.48 / $143.97 / $187.11	Professional		$117.48	$143.97	$187.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $106.68 / $162.88	Professional		$29.27	$106.68	$162.88