Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,375.67 / $4,456.00	Facility		$1,758.00	$4,375.67	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.95 / $887.84 / $1,731.00	Professional		$323.95	$887.84	$1,731.00
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $53.35 / $73.79 / $283.33	Professional	53	$53.35	$73.79	$283.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.69 / $423.01 / $1,691.80	Professional		$320.69	$423.01	$1,691.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $358.40 / $443.78 / $2,362.21	Professional		$358.40	$443.78	$2,362.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.76 / $1,488.78 / $1,894.82	Professional		$246.76	$1,488.78	$1,894.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.51 / $1,691.80 / $2,404.56	Professional		$1,380.51	$1,691.80	$2,404.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $305.83 / $2,507.73 / $6,063.00	Professional		$305.83	$2,507.73	$6,063.00