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 $98.04 / $177.69 / $312.30	Professional		$98.04	$177.69	$312.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $162.99 / $260.36 / $937.63	Professional	50	$162.99	$260.36	$937.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.71 / $252.59 / $303.11	Professional		$195.71	$252.59	$303.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $166.50 / $196.89 / $312.94	Professional		$166.50	$196.89	$312.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.98 / $214.19 / $252.59	Professional		$115.98	$214.19	$252.59
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 $206.11 / $252.59 / $317.19	Professional		$206.11	$252.59	$317.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $129.05 / $2,370.61 / $4,035.20	Professional		$129.05	$2,370.61	$4,035.20