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 / $3,463.87	Facility		$988.00	$2,898.00	$3,463.87
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,449.00 / $1,449.00 / $1,449.00	Facility	52	$1,449.00	$1,449.00	$1,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.88 / $272.35 / $1,280.63	Professional		$110.88	$272.35	$1,280.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.63 / $812.63 / $812.63	Facility		$812.63	$812.63	$812.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.93 / $325.14 / $569.20	Professional		$151.93	$325.14	$569.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $217.23 / $262.29 / $506.16	Professional		$217.23	$262.29	$506.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.50 / $308.23 / $423.07	Professional		$132.50	$308.23	$423.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $259.83 / $377.74 / $474.00	Professional		$259.83	$377.74	$474.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $166.43 / $1,500.00 / $3,725.00	Professional		$166.43	$1,500.00	$3,725.00