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 / $3,444.00	Facility		$988.00	$2,747.00	$3,444.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $193.38 / $306.24	Professional		$82.95	$193.38	$306.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $123.02 / $250.00 / $782.57	Professional	50	$123.02	$250.00	$782.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.62 / $234.19 / $281.02	Professional		$181.62	$234.19	$281.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $142.16 / $168.11 / $288.58	Professional		$142.16	$168.11	$288.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.20 / $198.59 / $234.19	Professional		$100.20	$198.59	$234.19
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 $191.10 / $234.19 / $325.18	Professional		$191.10	$234.19	$325.18
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $111.14 / $1,415.00 / $3,956.00	Professional		$111.14	$1,415.00	$3,956.00