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 $87.62 / $122.85 / $192.77	Professional		$87.62	$122.85	$192.77
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $164.09 / $190.98 / $272.52	Professional	50	$164.09	$190.98	$272.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.31 / $145.04 / $174.05	Professional		$125.31	$145.04	$174.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $201.99 / $238.85 / $2,286.00	Professional		$201.99	$238.85	$2,286.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.87 / $127.63 / $145.04	Professional		$101.87	$127.63	$145.04
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 $95.08 / $145.04 / $235.01	Professional		$95.08	$145.04	$235.01
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $101.23 / $1,174.00 / $4,023.00	Professional		$101.23	$1,174.00	$4,023.00