Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.93 / $538.20 / $2,747.00	Facility		$248.93	$538.20	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.80 / $419.50 / $587.49	Professional		$223.80	$419.50	$587.49
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $403.56 / $451.69 / $465.98	Professional	54	$403.56	$451.69	$465.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.14 / $470.76 / $564.91	Professional		$384.14	$470.76	$564.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $426.10 / $478.73 / $2,077.00	Professional		$426.10	$478.73	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $396.29 / $450.33 / $504.36	Professional		$396.29	$450.33	$504.36
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 $329.12 / $463.98 / $554.12	Professional		$329.12	$463.98	$554.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $309.37 / $3,875.00 / $12,751.20	Professional		$309.37	$3,875.00	$12,751.20