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 $584.94 / $782.21 / $1,122.26	Professional		$584.94	$782.21	$1,122.26
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $114.33 / $114.33 / $114.33	Professional	55	$114.33	$114.33	$114.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.20 / $870.60 / $1,044.72	Professional		$752.20	$870.60	$1,044.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,021.35 / $1,303.65 / $11,429.00	Professional		$1,021.35	$1,303.65	$11,429.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $766.13 / $835.78 / $975.07	Professional		$766.13	$835.78	$975.07
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 $654.95 / $870.60 / $973.08	Professional		$654.95	$870.60	$973.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $116.43 / $931.47 / $4,012.00	Professional		$116.43	$931.47	$4,012.00