Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.50 / $2,747.00 / $2,898.00	Facility		$864.50	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.56 / $204.56 / $456.70	Professional		$114.56	$204.56	$456.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.25 / $288.25 / $288.25	Professional	50	$288.25	$288.25	$288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.89 / $349.15 / $418.98	Professional		$273.89	$349.15	$418.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $206.69 / $240.80 / $423.41	Professional		$206.69	$240.80	$423.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.72 / $296.08 / $349.15	Professional		$143.72	$296.08	$349.15
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 $284.91 / $349.15 / $426.56	Professional		$284.91	$349.15	$426.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $178.16 / $1,350.00 / $3,663.00	Professional		$178.16	$1,350.00	$3,663.00