Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $578.94 / $2,462.08 / $3,883.00	Facility		$578.94	$2,462.08	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.33 / $546.21 / $1,904.71	Professional		$257.33	$546.21	$1,904.71
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $48.79 / $77.45 / $107.44	Professional	53	$48.79	$77.45	$107.44
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 $309.27 / $530.04 / $977.38	Professional		$309.27	$530.04	$977.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $479.10 / $578.50 / $756.93	Professional		$479.10	$578.50	$756.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.08 / $476.93 / $654.61	Professional		$271.08	$476.93	$654.61
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 $424.79 / $584.48 / $746.97	Professional		$424.79	$584.48	$746.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $347.28 / $1,958.52 / $5,287.00	Professional		$347.28	$1,958.52	$5,287.00