Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,898.00 / $3,444.00	Facility		$988.00	$2,898.00	$3,444.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.54 / $1,319.56 / $1,748.92	Professional		$84.54	$1,319.56	$1,748.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.18 / $150.18 / $150.18	Facility		$150.18	$150.18	$150.18
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $93.86 / $93.86 / $93.86	Facility	62	$93.86	$93.86	$93.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.19 / $1,146.24 / $1,810.58	Professional		$107.19	$1,146.24	$1,810.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $132.99 / $153.18 / $2,100.00	Professional		$132.99	$153.18	$2,100.00
HMSA Facility/Professional Professional Modifier AS Low / Median / High Price $22.14 / $26.04 / $357.00	Professional	AS	$22.14	$26.04	$357.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.63 / $1,070.41 / $1,265.03	Professional		$89.63	$1,070.41	$1,265.03
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 $1,199.14 / $1,305.80 / $2,038.19	Professional		$1,199.14	$1,305.80	$2,038.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.36 / $112.60 / $1,471.94	Professional		$75.36	$112.60	$1,471.94