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 $46.93 / $84.51 / $292.79	Professional		$46.93	$84.51	$292.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.27 / $150.00 / $420.16	Professional	50	$77.27	$150.00	$420.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $117.96 / $141.56	Professional		$91.84	$117.96	$141.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $79.67 / $94.21 / $132.01	Professional		$79.67	$94.21	$132.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $100.03 / $117.96	Professional		$54.75	$100.03	$117.96
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 $96.26 / $117.96 / $146.78	Professional		$96.26	$117.96	$146.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $70.28 / $124.27	Professional		$46.67	$70.28	$124.27