Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.00 / $988.00 / $2,898.00	Facility		$301.00	$988.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $17.64 / $55.16	Professional		$12.49	$17.64	$55.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $24.81 / $29.19 / $85.23	Professional	50	$24.81	$29.19	$85.23
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $5.85 / $6.25 / $6.25	Professional	52	$5.85	$6.25	$6.25
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $2.34 / $2.50 / $2.50	Professional	53	$2.34	$2.50	$2.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $21.60 / $21.60	Professional		$13.37	$21.60	$21.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $25.24 / $2,287.00	Professional		$21.94	$25.24	$2,287.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $20.74 / $24.19	Professional		$19.01	$20.74	$24.19
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 $17.39 / $21.60 / $24.50	Professional		$17.39	$21.60	$24.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $18.77 / $29.27	Professional		$12.56	$18.77	$29.27