Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $2,884.03	Facility		$1,000.00	$2,884.03	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $234.42 / $323.59	Professional		$83.18	$234.42	$323.59
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $38.90 / $38.90 / $38.90	Professional	52	$38.90	$38.90	$38.90
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $19.50 / $26.30 / $38.90	Professional	53	$19.50	$26.30	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $295.12	Professional		$125.89	$204.17	$295.12
HMSA Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $2,454.71	Professional		$199.53	$281.84	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $234.42 / $295.12	Professional		$77.62	$234.42	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $239.88 / $354.81	Professional		$104.71	$239.88	$354.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $1,412.54 / $3,981.07	Professional		$107.15	$1,412.54	$3,981.07