Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,966.00 / $8,499.00	Facility		$2,747.00	$6,966.00	$8,499.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $761.10 / $973.33 / $1,392.04	Professional		$761.10	$973.33	$1,392.04
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $143.24 / $143.24 / $143.24	Professional	55	$143.24	$143.24	$143.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $935.50 / $1,082.75 / $1,299.30	Professional		$935.50	$1,082.75	$1,299.30
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,274.52 / $1,516.23 / $6,882.00	Professional		$1,274.52	$1,516.23	$6,882.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $952.82 / $1,039.44 / $1,212.68	Professional		$952.82	$1,039.44	$1,212.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $822.04 / $1,082.75 / $1,219.43	Professional		$822.04	$1,082.75	$1,219.43
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $771.88 / $5,885.00 / $8,145.00	Professional		$771.88	$5,885.00	$8,145.00