Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,898.00 / $3,444.00	Facility		$988.00	$2,898.00	$3,444.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.80 / $376.38 / $970.69	Professional		$243.80	$376.38	$970.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $442.29 / $2,704.50 / $2,704.50	Professional	50	$442.29	$2,704.50	$2,704.50
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $199.07 / $199.07 / $256.39	Professional	54	$199.07	$199.07	$256.39
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $39.81 / $39.81 / $51.28	Professional	55	$39.81	$39.81	$51.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.29 / $385.75 / $462.90	Professional		$333.29	$385.75	$462.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $474.44 / $533.04 / $2,540.00	Professional		$474.44	$533.04	$2,540.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.06 / $337.34 / $385.75	Professional		$265.06	$337.34	$385.75
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 $279.39 / $385.75 / $497.15	Professional		$279.39	$385.75	$497.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $275.64 / $1,174.00 / $3,956.00	Professional		$275.64	$1,174.00	$3,956.00