Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.50 / $2,747.00 / $2,898.00	Facility		$864.50	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $587.47 / $718.74 / $1,164.18	Professional		$587.47	$718.74	$1,164.18
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $507.59 / $507.59 / $589.78	Professional	54	$507.59	$507.59	$589.78
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $101.52 / $101.52 / $117.96	Professional	55	$101.52	$101.52	$117.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.31 / $898.51 / $1,078.22	Professional		$776.31	$898.51	$1,078.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $918.65 / $1,118.58 / $6,882.00	Professional		$918.65	$1,118.58	$6,882.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $682.35 / $790.69 / $930.48	Professional		$682.35	$790.69	$930.48
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 $640.19 / $861.31 / $1,130.86	Professional		$640.19	$861.31	$1,130.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $626.76 / $1,402.00 / $3,725.00	Professional		$626.76	$1,402.00	$3,725.00