Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $5,299.00	Facility		$1,758.00	$4,456.00	$5,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.98 / $484.76 / $661.52	Professional		$416.98	$484.76	$661.52
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $222.97 / $222.97 / $330.76	Professional	52	$222.97	$222.97	$330.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.61 / $564.45 / $792.64	Professional		$516.61	$564.45	$792.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $670.23 / $890.53 / $6,873.30	Professional		$670.23	$890.53	$6,873.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.83 / $454.62 / $516.61	Professional		$302.83	$454.62	$516.61
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 $421.56 / $531.30 / $722.07	Professional		$421.56	$531.30	$722.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $513.96 / $1,279.00	Professional		$75.31	$513.96	$1,279.00