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 $132.36 / $159.02 / $738.00	Professional		$132.36	$159.02	$738.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $342.47 / $896.23 / $1,200.74	Professional	50	$342.47	$896.23	$1,200.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.43 / $177.41 / $212.90	Professional		$139.43	$177.41	$212.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $186.02 / $213.82 / $245.89	Professional		$186.02	$213.82	$245.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.63 / $156.12 / $182.24	Professional		$133.63	$156.12	$182.24
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 $144.77 / $177.41 / $218.73	Professional		$144.77	$177.41	$218.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $160.55 / $206.25	Professional		$29.27	$160.55	$206.25