Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,747.00 / $2,898.00	Facility		$988.00	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.07 / $127.00 / $204.51	Professional		$102.07	$127.00	$204.51
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $86.31 / $86.31 / $87.94	Professional	54	$86.31	$86.31	$87.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.38 / $165.93 / $199.11	Professional		$135.38	$165.93	$199.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $166.05 / $186.56 / $2,077.00	Professional		$166.05	$186.56	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.01 / $159.29 / $185.84	Professional		$146.01	$159.29	$185.84
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 $123.80 / $165.93 / $202.64	Professional		$123.80	$165.93	$202.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $138.50 / $170.87	Professional		$29.27	$138.50	$170.87