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 $248.28 / $386.81 / $777.93	Professional		$248.28	$386.81	$777.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.96 / $514.78 / $598.28	Professional		$342.96	$514.78	$598.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $501.20 / $592.66 / $755.83	Professional		$501.20	$592.66	$755.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $351.51 / $526.48 / $670.07	Professional		$351.51	$526.48	$670.07
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 $488.19 / $598.28 / $786.65	Professional		$488.19	$598.28	$786.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $397.54 / $2,000.00 / $5,304.00	Professional		$397.54	$2,000.00	$5,304.00