Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.50 / $2,747.00 / $2,898.00	Facility		$864.50	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $121.34 / $249.30	Professional		$61.52	$121.34	$249.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $155.43 / $155.43 / $155.43	Professional	50	$155.43	$155.43	$155.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.31 / $190.50 / $228.60	Professional		$151.31	$190.50	$228.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $115.87 / $135.00 / $222.41	Professional		$115.87	$135.00	$222.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.65 / $161.54 / $190.50	Professional		$84.65	$161.54	$190.50
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 $155.44 / $190.50 / $232.53	Professional		$155.44	$190.50	$232.53
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $1,350.00 / $3,663.00	Professional		$103.02	$1,350.00	$3,663.00