Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.60 / $165.60 / $2,747.00	Facility		$165.60	$165.60	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $83.95 / $489.93	Professional		$53.10	$83.95	$489.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $153.38 / $309.06 / $734.90	Professional	50	$153.38	$309.06	$734.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.97 / $104.94 / $141.10	Professional		$66.97	$104.94	$141.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $75.47 / $92.24 / $152.94	Professional		$75.47	$92.24	$152.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.28 / $92.35 / $117.53	Professional		$52.28	$92.35	$117.53
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 $85.63 / $104.94 / $148.30	Professional		$85.63	$104.94	$148.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.43 / $102.09 / $161.10	Professional		$42.43	$102.09	$161.10