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 $56.04 / $88.23 / $161.93	Professional		$56.04	$88.23	$161.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $130.26 / $130.26 / $130.26	Professional	50	$130.26	$130.26	$130.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.40 / $125.81 / $150.97	Professional		$98.40	$125.81	$150.97
HMSA Facility/Professional Professional Modifier Low / Median / High Price $93.75 / $110.86 / $148.54	Professional		$93.75	$110.86	$148.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.52 / $106.69 / $125.81	Professional		$64.52	$106.69	$125.81
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 $102.66 / $125.81 / $158.04	Professional		$102.66	$125.81	$158.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $53.13 / $80.00 / $135.63	Professional		$53.13	$80.00	$135.63