Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.31 / $404.76 / $2,048.00	Professional		$313.31	$404.76	$2,048.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.35 / $650.28 / $780.33	Professional		$510.35	$650.28	$780.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $570.54 / $671.06 / $805.50	Professional		$570.54	$671.06	$805.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $408.30 / $556.77 / $650.28	Professional		$408.30	$556.77	$650.28
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 $497.46 / $650.28 / $809.58	Professional		$497.46	$650.28	$809.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $444.43 / $1,981.00 / $5,304.00	Professional		$444.43	$1,981.00	$5,304.00