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 / $3,444.00	Facility		$988.00	$2,898.00	$3,444.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.77 / $127.79 / $521.00	Professional		$87.77	$127.79	$521.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $43.89 / $56.06 / $216.44	Professional	52	$43.89	$56.06	$216.44
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $17.55 / $22.42 / $118.97	Professional	53	$17.55	$22.42	$118.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.21 / $127.79 / $129.93	Professional		$105.21	$127.79	$129.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $81.01 / $143.82 / $172.34	Professional		$81.01	$143.82	$172.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.67 / $112.45 / $143.12	Professional		$66.67	$112.45	$143.12
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 $104.27 / $127.79 / $159.22	Professional		$104.27	$127.79	$159.22
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $83.90 / $197.03	Professional		$29.27	$83.90	$197.03