Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $5,299.00	Facility		$1,758.00	$4,456.00	$5,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.97 / $412.16 / $1,592.66	Professional		$387.97	$412.16	$1,592.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.82 / $549.98 / $549.98	Professional		$436.82	$549.98	$549.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $606.90 / $698.29 / $4,334.00	Professional		$606.90	$698.29	$4,334.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $483.98 / $527.98 / $615.97	Professional		$483.98	$527.98	$615.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $448.78 / $549.98 / $700.22	Professional		$448.78	$549.98	$700.22
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $515.91 / $5,084.00 / $6,487.00	Professional		$515.91	$5,084.00	$6,487.00