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 $133.06 / $172.88 / $274.45	Professional		$133.06	$172.88	$274.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.73 / $306.14 / $367.38	Professional		$230.73	$306.14	$367.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $258.42 / $305.58 / $346.50	Professional		$258.42	$305.58	$346.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.10 / $259.62 / $306.14	Professional		$190.10	$259.62	$306.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $305.69 / $350.84	Professional		$192.51	$305.69	$350.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $204.95 / $2,500.00 / $6,063.00	Professional		$204.95	$2,500.00	$6,063.00