Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $2,818.38 / $2,884.03	Facility		$245.47	$2,818.38	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $354.81	Professional		$181.97	$223.87	$354.81
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $281.84 / $281.84 / $933.25	Professional	54	$281.84	$281.84	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $257.04 / $323.59	Professional		$229.09	$257.04	$323.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,995.26 / $2,818.38	Professional		$331.13	$1,995.26	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $281.84 / $354.81	Professional		$245.47	$281.84	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $338.84	Professional		$169.82	$245.47	$338.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $257.04 / $309.03	Professional		$38.90	$257.04	$309.03