Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,466.84 / $4,466.84	Facility		$1,778.28	$4,466.84	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $295.12	Professional		$151.36	$199.53	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $323.59	Professional		$186.21	$251.19	$323.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $309.03 / $4,265.80	Professional		$269.15	$309.03	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $281.84 / $346.74	Professional		$181.97	$281.84	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $309.03	Professional		$141.25	$229.09	$309.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $2,570.40 / $6,165.95	Professional		$204.17	$2,570.40	$6,165.95