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 $74.51 / $126.38 / $394.91	Professional		$74.51	$126.38	$394.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $220.42 / $220.42 / $220.42	Professional	50	$220.42	$220.42	$220.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.41 / $299.48 / $359.37	Professional		$238.41	$299.48	$359.37
HMSA Facility/Professional Professional Modifier Low / Median / High Price $127.91 / $151.25 / $387.57	Professional		$127.91	$151.25	$387.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.38 / $253.95 / $299.48	Professional		$89.38	$253.95	$299.48
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 $241.45 / $298.27 / $355.55	Professional		$241.45	$298.27	$355.55
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $107.02 / $301.02	Professional		$37.92	$107.02	$301.02