Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $2,818.38 / $3,890.45	Facility		$275.42	$2,818.38	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $173.78 / $295.12	Professional		$64.57	$173.78	$295.12
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.20 / $31.62 / $162.18	Professional	52	$30.20	$31.62	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $218.78 / $251.19	Professional		$64.57	$218.78	$251.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $2,454.71	Professional		$104.71	$141.25	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $213.80 / $263.03	Professional		$60.26	$213.80	$263.03
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 $83.18 / $208.93 / $275.42	Professional		$83.18	$208.93	$275.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $151.36 / $275.42	Professional		$34.67	$151.36	$275.42