Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,635.55 / $2,747.00 / $5,484.00	Facility		$1,635.55	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.03 / $416.03 / $416.03	Professional		$416.03	$416.03	$416.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.64 / $513.64 / $616.37	Professional		$398.64	$513.64	$616.37
HMSA Facility/Professional Professional Modifier Low / Median / High Price $551.91 / $620.09 / $3,857.00	Professional		$551.91	$620.09	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $452.00 / $493.09 / $575.27	Professional		$452.00	$493.09	$575.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $396.78 / $513.64 / $633.12	Professional		$396.78	$513.64	$633.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $488.07 / $3,191.04 / $8,000.00	Professional		$488.07	$3,191.04	$8,000.00