Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.50 / $401.75 / $576.37	Professional		$301.50	$401.75	$576.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $499.06 / $611.59 / $733.91	Professional		$499.06	$611.59	$733.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $555.11 / $646.73 / $788.26	Professional		$555.11	$646.73	$788.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $394.69 / $502.33 / $611.59	Professional		$394.69	$502.33	$611.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $499.06 / $611.59 / $1,148.90	Professional		$499.06	$611.59	$1,148.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $410.78 / $2,575.00 / $6,124.00	Professional		$410.78	$2,575.00	$6,124.00