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 $55.09 / $93.12 / $162.15	Professional		$55.09	$93.12	$162.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $92.15 / $144.80 / $491.63	Professional	50	$92.15	$144.80	$491.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.67 / $126.04 / $151.25	Professional		$97.67	$126.04	$151.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $109.45 / $146.35	Professional		$92.55	$109.45	$146.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $106.88 / $126.04	Professional		$63.90	$106.88	$126.04
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 $102.85 / $126.04 / $156.81	Professional		$102.85	$126.04	$156.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $78.98 / $135.13	Professional		$52.45	$78.98	$135.13