Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $8,431.00 / $9,366.00	Facility		$2,747.00	$8,431.00	$9,366.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.01 / $523.55 / $1,591.15	Professional		$207.01	$523.55	$1,591.15
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $103.51 / $139.78 / $622.97	Professional	52	$103.51	$139.78	$622.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.31 / $1,340.81 / $1,552.63	Professional		$254.31	$1,340.81	$1,552.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $364.28 / $451.06 / $5,879.00	Professional		$364.28	$451.06	$5,879.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $268.50 / $1,366.31 / $1,552.63	Professional		$268.50	$1,366.31	$1,552.63
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,266.94 / $1,578.73 / $2,236.76	Professional		$1,266.94	$1,578.73	$2,236.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $231.44 / $4,842.00 / $6,124.00	Professional		$231.44	$4,842.00	$6,124.00