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 $60.31 / $91.85 / $166.03	Professional		$60.31	$91.85	$166.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $83.28 / $364.50 / $657.00	Professional	50	$83.28	$364.50	$657.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $96.95 / $116.34	Professional		$76.59	$96.95	$116.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $95.06 / $112.41 / $138.85	Professional		$95.06	$112.41	$138.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $82.21 / $96.95	Professional		$45.25	$82.21	$96.95
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 $79.11 / $98.55 / $126.98	Professional		$79.11	$98.55	$126.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $37.52 / $81.37 / $2,594.00	Professional		$37.52	$81.37	$2,594.00