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 $87.10 / $213.80 / $363.08	Professional		$87.10	$213.80	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $281.84 / $338.84	Professional		$102.33	$281.84	$338.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $5,011.87	Professional		$154.88	$190.55	$5,011.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $269.15 / $338.84	Professional		$91.20	$269.15	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $275.42 / $380.19	Professional		$123.03	$275.42	$380.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $114.82 / $331.13	Professional		$29.51	$114.82	$331.13