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 $307.50 / $636.28 / $1,371.62	Professional		$307.50	$636.28	$1,371.62
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $138.04 / $138.04 / $138.04	Professional	55	$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $914.84 / $1,058.83 / $1,270.60	Professional		$914.84	$1,058.83	$1,270.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,126.93 / $1,325.80 / $9,552.00	Professional		$1,126.93	$1,325.80	$9,552.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $931.78 / $1,016.48 / $1,185.90	Professional		$931.78	$1,016.48	$1,185.90
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 $733.25 / $1,021.10 / $1,291.58	Professional		$733.25	$1,021.10	$1,291.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $655.00 / $1,566.00 / $3,725.00	Professional		$655.00	$1,566.00	$3,725.00