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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $559.36 / $685.49 / $822.59	Professional		$559.36	$685.49	$822.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $533.13 / $630.41 / $800.76	Professional		$533.13	$630.41	$800.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $370.21 / $548.39 / $685.49	Professional		$370.21	$548.39	$685.49
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 $376.38 / $624.51 / $857.94	Professional		$376.38	$624.51	$857.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $422.95 / $2,000.00 / $5,304.00	Professional		$422.95	$2,000.00	$5,304.00