Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,883.00 / $4,705.00	Facility		$1,486.00	$3,883.00	$4,705.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.28 / $273.87 / $527.66	Professional		$197.28	$273.87	$527.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.63 / $408.86 / $490.64	Professional		$333.63	$408.86	$490.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $359.91 / $425.59 / $511.07	Professional		$359.91	$425.59	$511.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.29 / $327.08 / $408.86	Professional		$252.29	$327.08	$408.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $333.63 / $408.86 / $810.90	Professional		$333.63	$408.86	$810.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $55.54 / $295.06 / $5,287.00	Professional		$55.54	$295.06	$5,287.00