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 $60.54 / $122.20 / $344.90	Professional		$60.54	$122.20	$344.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.25 / $144.25 / $144.25	Professional	50	$144.25	$144.25	$144.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.52 / $176.21 / $211.46	Professional		$138.52	$176.21	$211.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $117.57 / $192.38	Professional		$99.43	$117.57	$192.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $149.43 / $176.21	Professional		$66.34	$149.43	$176.21
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 $143.79 / $176.21 / $211.35	Professional		$143.79	$176.21	$211.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $84.04 / $1,350.00 / $3,663.00	Professional		$84.04	$1,350.00	$3,663.00