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 $247.06 / $347.75 / $1,415.77	Professional		$247.06	$347.75	$1,415.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $531.19 / $671.25 / $805.50	Professional		$531.19	$671.25	$805.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $309.86 / $361.01 / $448.97	Professional		$309.86	$361.01	$448.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $372.38 / $569.22 / $671.25	Professional		$372.38	$569.22	$671.25
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 $302.51 / $671.25 / $835.91	Professional		$302.51	$671.25	$835.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $389.80 / $1,958.52 / $5,287.00	Professional		$389.80	$1,958.52	$5,287.00