Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,787.00 / $2,898.00	Facility		$988.00	$2,787.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.27 / $300.54 / $901.62	Professional		$156.27	$300.54	$901.62
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,212.03 / $1,212.03 / $1,212.03	Professional	50	$1,212.03	$1,212.03	$1,212.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.97 / $329.19 / $395.03	Professional		$166.97	$329.19	$395.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $271.98 / $352.79	Professional		$230.00	$271.98	$352.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.10 / $279.14 / $329.19	Professional		$133.10	$279.14	$329.19
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 $268.62 / $329.19 / $416.94	Professional		$268.62	$329.19	$416.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $106.51 / $299.20 / $3,663.00	Professional		$106.51	$299.20	$3,663.00