Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.14 / $351.54 / $1,298.42	Professional		$269.14	$351.54	$1,298.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $603.69 / $603.69 / $603.69	Professional	50	$603.69	$603.69	$603.69
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $263.66 / $263.66 / $284.13	Professional	54	$263.66	$263.66	$284.13
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $52.73 / $52.73 / $56.83	Professional	55	$52.73	$52.73	$56.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.04 / $432.91 / $519.50	Professional		$374.04	$432.91	$519.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $455.08 / $511.30 / $2,540.00	Professional		$455.08	$511.30	$2,540.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.40 / $386.62 / $451.05	Professional		$354.40	$386.62	$451.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $309.57 / $415.26 / $549.55	Professional		$309.57	$415.26	$549.55
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $290.70 / $1,658.00 / $4,035.20	Professional		$290.70	$1,658.00	$4,035.20