Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $6,084.00 / $7,424.00	Facility		$2,528.00	$6,084.00	$7,424.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $861.73 / $1,749.74 / $3,259.82	Professional		$861.73	$1,749.74	$3,259.82
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $605.26 / $605.26 / $729.28	Professional	54	$605.26	$605.26	$729.28
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $125.61 / $125.61 / $125.61	Professional	55	$125.61	$125.61	$125.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $817.10 / $945.71 / $1,134.85	Professional		$817.10	$945.71	$1,134.85
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,228.16 / $1,446.33 / $9,552.00	Professional		$1,228.16	$1,446.33	$9,552.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $832.23 / $907.88 / $1,059.20	Professional		$832.23	$907.88	$1,059.20
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 $703.79 / $945.71 / $1,215.77	Professional		$703.79	$945.71	$1,215.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $923.98 / $3,709.33 / $6,604.00	Professional		$923.98	$3,709.33	$6,604.00