Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $578.94 / $2,614.15 / $8,331.70	Facility		$578.94	$2,614.15	$8,331.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.28 / $463.04 / $1,891.04	Professional		$192.28	$463.04	$1,891.04
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $97.85 / $196.60 / $274.62	Professional	52	$97.85	$196.60	$274.62
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $38.45 / $63.65 / $103.13	Professional	53	$38.45	$63.65	$103.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,088.40 / $1,088.40 / $1,088.40	Facility		$1,088.40	$1,088.40	$1,088.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.84 / $477.87 / $888.09	Professional		$254.84	$477.87	$888.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $74.55 / $464.35 / $736.15	Professional		$74.55	$464.35	$736.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.95 / $459.38 / $630.52	Professional		$214.95	$459.38	$630.52
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 $425.86 / $562.96 / $1,077.07	Professional		$425.86	$562.96	$1,077.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $273.82 / $1,958.52 / $5,287.00	Professional		$273.82	$1,958.52	$5,287.00