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
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.12 / $171.12 / $171.12	Professional		$171.12	$171.12	$171.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.82 / $201.99 / $242.39	Professional		$164.82	$201.99	$242.39
HMSA Facility/Professional Professional Modifier Low / Median / High Price $390.46 / $427.31 / $517.65	Professional		$390.46	$427.31	$517.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.75 / $193.91 / $226.23	Professional		$177.75	$193.91	$226.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.82 / $214.51 / $485.40	Professional		$164.82	$214.51	$485.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.75 / $192.51 / $318.14	Professional		$27.75	$192.51	$318.14