Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $5,484.00 / $6,718.00	Facility		$1,924.00	$5,484.00	$6,718.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.50 / $211.52 / $613.11	Professional		$171.50	$211.52	$613.11
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $90.61 / $105.76 / $306.56	Professional	52	$90.61	$105.76	$306.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.00 / $685.15 / $759.56	Professional		$228.00	$685.15	$759.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $279.36 / $345.92 / $4,116.00	Professional		$279.36	$345.92	$4,116.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.92 / $668.42 / $759.56	Professional		$206.92	$668.42	$759.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $619.79 / $767.31 / $1,071.08	Professional		$619.79	$767.31	$1,071.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $112.64 / $238.39 / $1,439.26	Professional		$112.64	$238.39	$1,439.26