Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,890.45 / $3,890.45	Facility		$1,513.56	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $194.98 / $354.81	Professional		$85.11	$194.98	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $245.47 / $316.23	Professional		$100.00	$245.47	$316.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $4,570.88	Professional		$162.18	$218.78	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $257.04 / $316.23	Professional		$91.20	$257.04	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $257.04 / $354.81	Professional		$123.03	$257.04	$354.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $123.03 / $323.59	Professional		$43.65	$123.03	$323.59