Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $2,747.00 / $2,747.00	Facility		$2,747.00	$2,747.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $80.20 / $349.00	Professional		$47.06	$80.20	$349.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $23.53 / $23.69 / $40.11	Professional	52	$23.53	$23.69	$40.11
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $9.41 / $9.47 / $16.04	Professional	53	$9.41	$9.47	$16.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.98 / $90.18 / $94.68	Professional		$56.98	$90.18	$94.68
HMSA Facility/Professional Professional Modifier Low / Median / High Price $70.44 / $83.97 / $119.65	Professional		$70.44	$83.97	$119.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.57 / $83.31 / $106.04	Professional		$48.57	$83.31	$106.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.25 / $94.68 / $111.21	Professional		$77.25	$94.68	$111.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $59.64 / $104.67	Professional		$29.27	$59.64	$104.67