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 $205.90 / $407.68 / $811.70	Professional		$205.90	$407.68	$811.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $338.10 / $708.38 / $1,922.78	Professional	50	$338.10	$708.38	$1,922.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.96 / $577.04 / $692.46	Professional		$459.96	$577.04	$692.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $335.20 / $396.37 / $744.52	Professional		$335.20	$396.37	$744.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.22 / $489.34 / $577.04	Professional		$212.22	$489.34	$577.04
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 $470.87 / $577.04 / $693.68	Professional		$470.87	$577.04	$693.68
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $249.74 / $591.94 / $6,612.00	Professional		$249.74	$591.94	$6,612.00