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 $32.10 / $52.36 / $209.00	Professional		$32.10	$52.36	$209.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $60.55 / $102.01 / $282.00	Professional	50	$60.55	$102.01	$282.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.34 / $63.51 / $76.22	Professional		$49.34	$63.51	$76.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $64.56 / $78.38	Professional		$54.60	$64.56	$78.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.45 / $53.86 / $63.51	Professional		$35.45	$53.86	$63.51
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 $51.83 / $63.51 / $78.23	Professional		$51.83	$63.51	$78.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $43.90 / $68.02	Professional		$29.38	$43.90	$68.02