Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,063.47 / $7,993.77	Facility		$2,747.00	$6,063.47	$7,993.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.52 / $1,802.00 / $3,669.25	Professional		$316.52	$1,802.00	$3,669.25
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $305.68 / $305.68 / $305.68	Professional	52	$305.68	$305.68	$305.68
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $519.00 / $519.00 / $526.79	Professional	54	$519.00	$519.00	$526.79
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $49.00 / $85.46 / $85.46	Professional	55	$49.00	$85.46	$85.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $597.89 / $692.00 / $830.40	Professional		$597.89	$692.00	$830.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $913.41 / $1,026.24 / $7,637.00	Professional		$913.41	$1,026.24	$7,637.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $608.96 / $664.32 / $775.04	Professional		$608.96	$664.32	$775.04
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 $512.63 / $671.58 / $810.00	Professional		$512.63	$671.58	$810.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $658.77 / $3,709.33 / $6,604.00	Professional		$658.77	$3,709.33	$6,604.00