Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.50 / $2,747.00 / $2,898.00	Facility		$864.50	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.46 / $200.18 / $273.17	Professional		$155.46	$200.18	$273.17
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $324.68 / $344.63 / $403.28	Professional	50	$324.68	$344.63	$403.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.18 / $209.70 / $251.64	Professional		$181.18	$209.70	$251.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $280.02 / $314.62 / $2,540.00	Professional		$280.02	$314.62	$2,540.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.69 / $184.54 / $209.70	Professional		$145.69	$184.54	$209.70
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 $148.30 / $209.70 / $293.16	Professional		$148.30	$209.70	$293.16
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $174.96 / $335.37	Professional		$29.27	$174.96	$335.37