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 $105.00 / $241.00 / $550.00	Professional		$105.00	$241.00	$550.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $172.76 / $281.73 / $1,297.50	Professional	50	$172.76	$281.73	$1,297.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.43 / $189.15 / $226.98	Professional		$163.43	$189.15	$226.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $190.40 / $219.31 / $2,286.00	Professional		$190.40	$219.31	$2,286.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.74 / $166.45 / $189.15	Professional		$133.74	$166.45	$189.15
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 $138.04 / $181.41 / $247.14	Professional		$138.04	$181.41	$247.14
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $146.40 / $210.89	Professional		$29.27	$146.40	$210.89