Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.10 / $298.10 / $2,747.00	Facility		$298.10	$298.10	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $35.38 / $56.03	Professional		$20.35	$35.38	$56.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $20.03 / $20.03 / $44.36	Professional	50	$20.03	$20.03	$44.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $23.61 / $28.34	Professional		$20.39	$23.61	$28.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $63.53 / $71.38 / $2,540.00	Professional		$63.53	$71.38	$2,540.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.78 / $24.87 / $28.34	Professional		$20.78	$24.87	$28.34
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 $20.39 / $24.42 / $58.63	Professional		$20.39	$24.42	$58.63
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $26.05 / $85.41	Professional		$17.30	$26.05	$85.41