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 $48.59 / $103.90 / $355.14	Professional		$48.59	$103.90	$355.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $17.39 / $116.94 / $433.64	Professional	50	$17.39	$116.94	$433.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.09 / $144.44 / $173.34	Professional		$108.09	$144.44	$173.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $101.22 / $177.59	Professional		$85.60	$101.22	$177.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.76 / $122.49 / $144.44	Professional		$54.76	$122.49	$144.44
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 $117.87 / $144.44 / $173.40	Professional		$117.87	$144.44	$173.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $70.27 / $1,350.00 / $3,663.00	Professional		$70.27	$1,350.00	$3,663.00