Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.95 / $525.08 / $2,898.00	Facility		$235.95	$525.08	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.50 / $178.78 / $340.72	Professional		$152.50	$178.78	$340.72
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $127.33 / $127.33 / $139.69	Professional	54	$127.33	$127.33	$139.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.80 / $280.26 / $336.32	Professional		$227.80	$280.26	$336.32
HMSA Facility/Professional Professional Modifier Low / Median / High Price $279.25 / $313.75 / $2,077.00	Professional		$279.25	$313.75	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $230.69 / $262.14 / $293.61	Professional		$230.69	$262.14	$293.61
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 $200.61 / $276.91 / $328.71	Professional		$200.61	$276.91	$328.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $239.71 / $287.37	Professional		$35.92	$239.71	$287.37