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 $371.54 / $489.78 / $812.83	Professional		$371.54	$489.78	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $512.86 / $676.08	Professional		$478.63	$512.86	$676.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $741.31 / $3,981.07	Professional		$616.60	$741.31	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $691.83	Professional		$389.05	$562.34	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $501.19 / $741.31	Professional		$309.03	$501.19	$741.31
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $2,041.74 / $5,370.32	Professional		$446.68	$2,041.74	$5,370.32