Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.83 / $525.08 / $2,747.00	Facility		$504.83	$525.08	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.94 / $282.55 / $517.45	Professional		$227.94	$282.55	$517.45
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $398.38 / $398.38 / $398.38	Professional	54	$398.38	$398.38	$398.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.07 / $417.98 / $501.57	Professional		$341.07	$417.98	$501.57
HMSA Facility/Professional Professional Modifier Low / Median / High Price $420.79 / $472.77 / $2,077.00	Professional		$420.79	$472.77	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $349.83 / $397.54 / $445.24	Professional		$349.83	$397.54	$445.24
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 $301.27 / $412.95 / $493.98	Professional		$301.27	$412.95	$493.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $54.13 / $336.95 / $433.02	Professional		$54.13	$336.95	$433.02