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 $210.13 / $350.87 / $751.04	Professional		$210.13	$350.87	$751.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $345.12 / $551.29 / $1,997.78	Professional	50	$345.12	$551.29	$1,997.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.61 / $571.70 / $686.04	Professional		$455.61	$571.70	$686.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $342.15 / $404.60 / $737.34	Professional		$342.15	$404.60	$737.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.01 / $484.80 / $571.70	Professional		$212.01	$484.80	$571.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $466.51 / $571.70 / $700.74	Professional		$466.51	$571.70	$700.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $274.64 / $1,658.00 / $4,023.00	Professional		$274.64	$1,658.00	$4,023.00